Individual
CASEY BURGDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2400 PATTERSON ST, NASHVILLE, TN 37203-1562
(615) 342-6830
(615) 342-8636
Mailing address
2400 PATTERSON STREET, SUITE 311, NASHVILLE, TN 37203-6533
(615) 342-6830
(615) 342-8636
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19161
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08525864
—
MS
Enumeration date
11/13/2006
Last updated
05/06/2010
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