Individual
CHARLES BRYAN BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, APC
Contact information
Practice address
9 DUNWOODY PARK, DUNWOODY, GA 30338-7407
(770) 744-5055
Mailing address
9 DUNWOODY PARK, DUNWOODY, GA 30338-7407
(770) 744-5055
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC005713
GA
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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