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Individual

DR. JAMES BRACKEN BURNS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
DOGWOOD AVE, BLDG #1, ROOM 2-42, JOHNSON CITY, TN 37614
(423) 439-6263
Mailing address
DOGWOOD AVE, BLDG #1, ROOM 2-42, JOHNSON CITY, TN 37614
(423) 439-6263

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2911
TN
208600000X
Surgery Physician
34-008439
OH
2086S0127X
Trauma Surgery Physician
Primary
2911
TN
2086S0127X
Trauma Surgery Physician
35-008439
OH
2086S0127X
Trauma Surgery Physician
OS10105
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1508821067
VA
05
2650448
OH
05
2784823-00
FL
05
428749571A
GA
05
Q016851
TN
Enumeration date
04/19/2006
Last updated
07/21/2022
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