Individual
JUSTIN PRICE BURGETT
Active
Individual
JUSTIN PRICE BURGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC, RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
163538
TN
163W00000X
Registered Nurse
RN233030
GA
363LF0000X
Family Nurse Practitioner
Primary
RN233030
GA
Other
Enumeration date
04/24/2008
Last updated
09/03/2019
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