Individual
LESLIE BURSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2001 PROFESSIONAL WAY, WOODSTOCK, GA 30188-6442
(770) 926-5459
Mailing address
307 MARKET CT, CANTON, GA 30114-4562
(770) 833-4987
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN116720
GA
Other
Enumeration date
06/14/2008
Last updated
10/17/2012
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