Individual
MR. TED WAYNE BURGDORFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N.
Contact information
Practice address
921 E 3RD ST, CHATTANOOGA, TN 37403-2102
(423) 209-8030
Mailing address
921 E 3RD ST, CHATTANOOGA, TN 37403-2102
(423) 209-8030
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000140438
TN
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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