Organization
SALLY W. BURBANK, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALLY W BURBANK M.D. (OWNER)
(615) 340-4460
Entity
Organization
Contact information
Practice address
1916 PATTERSON STREET, SUITE 503, NASHVILLE, TN 37203-2021
(615) 340-4460
(615) 340-4481
Mailing address
1916 PATTERSON ST, SUITE 503, NASHVILLE, TN 37203-2120
(615) 340-4460
(615) 340-4481
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0094089
BCBS
TN
Enumeration date
03/19/2015
Last updated
10/11/2016
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