Individual
JILL WALKER BURNSED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
655 7TH ST BLDG 700-A78, ROBINS AFB, GA 31098-2227
(478) 497-8076
Mailing address
107 RIVER PARK CIR, FORSYTH, GA 31029-4858
(904) 813-5438
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH009123
GA
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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