Individual
DR. DONNA E BURRELL
Active
Individual
DR. DONNA E BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38704
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000622047D
—
GA
01
—
110088-488
RAIL ROAD MEDICARE
GA
01
—
20211I1194
MEDICARE PTAN
GA
Enumeration date
10/04/2005
Last updated
07/31/2015
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