Individual
DR. JOHN S BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 INDEPENDENCE LN, LA FOLLETTE, TN 37766-3031
(423) 562-1705
(423) 566-3718
Mailing address
831 STEPHENS RD, LAKE CITY, TN 37769-6126
(865) 426-6719
(423) 566-3718
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD0000004016
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3099443
—
TN
Enumeration date
06/10/2005
Last updated
06/18/2012
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