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Individual

DR. DAVID G. BURLESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
28 MEDICAL CENTER DR, JACKSON, TN 38301-3947
(731) 427-9971
(731) 424-2052
Mailing address
1818 ALBION ST, NASHVILLE, TN 37208-2918
(615) 341-4232
(615) 341-4905

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD0000020444
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0167766
CIGNA
TN
01
04489152
AETNA
TN
01
2006545
BLUE CROSS BLUE SHIELD
TN
05
3053363
TN
Enumeration date
11/22/2005
Last updated
08/27/2018
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