Individual
DR. RICHARD GERALD BURRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
827 F E SELLERS HWY, MONTICELLO, MS 39654-9378
(601) 587-4648
(601) 587-0613
Mailing address
PO BOX 728, MONTICELLO, MS 39654-0728
(601) 587-4648
(601) 587-0613
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
06985
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00015262
—
MS
Enumeration date
07/13/2005
Last updated
07/08/2007
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