Individual
BRIAN WESLEY BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 MASON DR APT 202, CHATTANOOGA, TN 37415-6640
(281) 871-0393
Mailing address
20 MASON DR APT 202, CHATTANOOGA, TN 37415-6640
(281) 871-0393
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
08/19/2025
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