Individual
ERIN BURGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
115 E MAIN ST STE A1B, BUFORD, GA 30518-5727
(770) 376-5453
Mailing address
115 E MAIN ST STE A1B, BUFORD, GA 30518-5727
(770) 376-5453
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
OT008249
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000772681A
—
GA
Enumeration date
06/12/2014
Last updated
11/11/2022
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