Burrus, Roger Grady
Burrus, Roger Grady is an sole proprietor health care provider with primary practice located at 123 Fairways Dr , Hendersonville TN 37075-2610. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Burrus, Roger Grady can be contacted via phone (615) 969-2131.Contact Information
Primary practice address
123 Fairways Dr
Hendersonville TN 37075-2610
Phone: (615) 969-2131
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 20833 | Tennessee |
Profile Details
| NPI number | 1114912656 |
|---|---|
| LBN Legal business name | Burrus, Roger Grady |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Oct 30th, 2015 - about 11 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 | 1114912656 | NPPES |
| Tennessee | MEDICAID | 3074639 |
Popular Providers
-
Cruz, Helion W
353 New Shackle Island Road Suite 244C, Hendersonville TN 37075-2380 -
Garrison, Judie Lynne
400 Spring Forest Rd , Greenville NC 27834-7244 -
Smith, William Barney
105 Glen Oak Blvd Suite 204, Hendersonville TN 37075-6424 -
Venegas, Eric J
5007 Portico Way , Midland TX 79707 -
Yavorek, Henry George
One Commerce Ave , Selinsgrove PA 17870-8920 -
Orgera, Marisa
55 Grand St Ste 106, Kingston NY 12401-3933 -
Nason, William Brent
353 New Shackle Island Rd Ste 221B , Hendersonville TN 37075-2382 -
Yawn, Gary Wayne
353 New Shackle Island Rd Ste 300C , Hendersonville TN 37075-2384