Individual
MRS. SANDRA W BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P. A.
Contact information
Practice address
900 SHUGART RD, DALTON, GA 30720-2467
(706) 270-5100
(706) 270-5066
Mailing address
1401 APPLEWOOD DR, SUITE 1, DALTON, GA 30720-2699
(706) 270-5003
(706) 270-5111
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
RN026508
GA
363A00000X
Physician Assistant
Primary
000988
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000988
LICENSE
GA
Enumeration date
12/15/2006
Last updated
09/09/2011
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