Individual
MRS. UREKA BURNETT EVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
667 FAIRBURN RD NW, ATLANTA, GA 30331-1423
(404) 444-4684
(678) 565-1454
Mailing address
6126 KATHERINE RD, REX, GA 30273-1119
(404) 444-4684
(678) 565-1454
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
SSC00402009-0076
GA
Other
Enumeration date
04/21/2010
Last updated
04/21/2010
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