Individual
DANA MARIE BURGIO ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA-C
Contact information
Practice address
4280 N VALDOSTA RD, VALDOSTA, GA 31602-6814
(229) 671-2066
Mailing address
PO BOX 8846, GREENSBORO, NC 27419-0846
(336) 553-1659
(336) 553-3994
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
006397
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003122628A
—
GA
Enumeration date
05/01/2012
Last updated
07/29/2016
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