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Individual

MS. LILLIE BURNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, BC

Contact information

Practice address
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
(770) 224-1000
(770) 224-2451
Mailing address
2540 WINDY HILL RD SE, MARIETTA, GA 30067-8605
(770) 644-1570
(770) 644-1576

Taxonomy

Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN063097
GA

Other

Enumeration date
11/15/2005
Last updated
03/05/2018
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