Individual
NICHOLAS BURGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 CUMBERLAND SQ, LEBANON, TN 37087-3408
(706) 512-1071
Mailing address
123 E CLINTON DR SW, ROME, GA 30165-3846
(706) 512-1071
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
TN
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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