Individual
CAROLE BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1805 WILLIAMSON CT, BRENTWOOD, TN 37027-8164
(615) 331-5536
Mailing address
1805 WILLIAMSON CT, BRENTWOOD, TN 37027-8164
(615) 331-5536
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA001179
TN
Other
Enumeration date
08/06/2007
Last updated
11/07/2008
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