Burch, Mary Catherine

Burch, Mary Catherine is an individual health care provider with primary practice located at 15 Riverbend Dr Sw Ste 100, Rome GA 30161-6065. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Burch, Mary Catherine can be contacted via phone (706) 291-0884.

Contact Information

Primary practice address
15 Riverbend Dr Sw Ste 100 Rome GA 30161-6065
Fax: (706) 235-0405
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 084921 Georgia

Profile Details

NPI number 1609853324
LBN Legal business name Burch, Mary Catherine
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Jun 12th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609853324 NPPES
Georgia MEDICAID 0092323813

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