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Individual

BRIAN BURNHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11525 HAYNES BRIDGE RD STE 200, ALPHARETTA, GA 30009-4822
(770) 751-0800
(770) 751-7198
Mailing address
11525 HAYNES BRIDGE RD STE 200, ALPHARETTA, GA 30009-4822
(770) 751-0800
(770) 751-7198

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
83758
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/22/2016
Last updated
04/05/2023
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