Individual
MRS. ANNA MARIE BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C, ATC
Contact information
Practice address
497 AZALEA DR, SUITE 102, OXFORD, MS 38655-7905
(662) 513-2000
(662) 513-2001
Mailing address
497 AZALEA DR, SUITE 102, OXFORD, MS 38655-7905
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT0402
MS
363A00000X
Physician Assistant
Primary
PA00162
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00457592
—
MS
Enumeration date
01/10/2012
Last updated
04/10/2019
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