Individual
MR. DEAN CARSON BURDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA,RA (CBRPA)
Contact information
Practice address
1 METROPLEX DR, SUITE 250, BIRMINGHAM, AL 35209-6893
(800) 956-0179
(205) 802-7549
Mailing address
245 NEWCOMER TRL, FITZGERALD, GA 31750-8651
(229) 426-7472
(229) 424-7283
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
JX28934
FL
Other
Enumeration date
06/26/2007
Last updated
02/27/2009
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