Individual
LEIGH ANN ELMGREN BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.C. - HIS
Contact information
Practice address
5203 FREDERICK STREET, SAVANNAH, GA 31405
(912) 351-3038
(912) 351-4674
Mailing address
5203 FREDERICK STREET, SAVANNAH, GA 31405
(912) 351-3038
(912) 351-4674
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HADS000700
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3593
MEDICARE GRP #
GA
05
—
582468197
—
GA
Enumeration date
08/19/2008
Last updated
08/19/2008
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