Individual
EDDIE LEE BURGE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8222 JEFFRIES AVE, CLEVELAND, OH 44105-6562
(216) 543-9633
Mailing address
8222 JEFFRIES AVE, CLEVELAND, OH 44105-6562
(216) 543-9633
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
OH
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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