Individual
MRS. TANYA ELSTON BURNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
980 JOHNSON FERRY RD, SUITE 520, ATLANTA, GA 30342-1626
(404) 303-3320
(404) 303-3464
Mailing address
980 JOHNSON FERRY RD, SUITE 520, ATLANTA, GA 30342-1626
(404) 303-3320
(404) 303-3464
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
003677
GA
363A00000X
Physician Assistant
Primary
003677
GA
Other
Enumeration date
02/07/2007
Last updated
01/11/2017
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