Burns, Randel Phillip
Burns, Randel Phillip is an individual health care provider with primary practice located at 979 E 3Rd St Ste 300, Chattanooga TN 37403-2136. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Burns, Randel Phillip can be contacted via phone (423) 267-0466.Contact Information
Primary practice address
979 E 3Rd St Ste 300
Chattanooga TN 37403-2136
Phone: (423) 267-0466
Fax: (423) 778-8168
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD5824 | Tennessee |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD5824 | Tennessee |
Profile Details
| NPI number | 1285628990 |
|---|---|
| LBN Legal business name | Burns, Randel Phillip |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Feb 2nd, 2017 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285628990 | NPPES |
| Georgia | MEDICAID | 00134879A | |
| Georgia | Other | 1740066 | |
| Georgia | Other | 2001212 | |
| Georgia | Other | 010061950 | |
| Georgia | MEDICAID | 009934250 | |
| Georgia | MEDICAID | 3155570 | |
| Georgia | Other | 62165877415 |
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