Individual
GINA E BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
604 RIVERSIDE AVE, WAYCROSS, GA 31501-5323
(912) 283-1875
(912) 283-0894
Mailing address
604 RIVERSIDE AVE, WAYCROSS, GA 31501-5323
(912) 283-1875
(912) 283-0894
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN112080
GA
Other
Enumeration date
07/10/2006
Last updated
07/09/2007
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