Burleson, David G.

Burleson, David G. is an individual health care provider with primary practice located at 28 Medical Center Dr , Jackson TN 38301-3947. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Burleson, David G. can be contacted via phone (731) 427-9971.

Contact Information

Primary practice address
28 Medical Center Dr Jackson TN 38301-3947
Phone: (731) 427-9971
Fax: (731) 424-2052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD0000020444 Tennessee

Profile Details

NPI number 1457334526
LBN Legal business name Burleson, David G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Aug 27th, 2018 - about 6 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 1457334526 NPPES
Tennessee Other 0167766 CIGNA
Tennessee Other 04489152 CIGNA
Tennessee Other 2006545 CIGNA
Tennessee MEDICAID 3053363 CIGNA

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