Terry Burgess
Nurse Anesthetist, Certified Registered in Hattiesburg, MS. Individual provider (NPI-1).
NPI number1609244342
StatusActive
Last updated in NPPESNov 1, 2021
Details
- NPI
- 1609244342
- Entity type
- Individual (NPI-1)
- Name
- Terry Burgess
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 11, 2015
- Certification date
- Nov 1, 2021
- Last updated
- Nov 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R887129 | MS | Yes |
Practice location
415 S 28th AveHattiesburg, MS 39401-7246
Phone 601-261-3606 · Fax 601-579-5240
Mailing address
415 S 28th AveHattiesburg, MS 39401-7246
Phone 601-261-3606 · Fax 601-579-5240
Other practice locations
830 S Gloster St
Tupelo, MS 38801-4934
Tupelo, MS 38801-4934
Phone 662-377-4394
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