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Individual

MRS. GENYCE LAVON BURKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
450 LANIER ROAD, MADISON, AL 35758-1866
(756) 774-4500
(256) 774-4573
Mailing address
2868 ACTON ROAD, BIRMINGHAM, AL 35243-2502
(205) 968-8360
(205) 968-8361

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-139932
AL

Other

Enumeration date
01/02/2014
Last updated
01/02/2014
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