Anastasia Burns, Medical Student
Student in an Organized Health Care Education/Training Program in Snellville, GA. Individual provider (NPI-1).
NPI number1841010485
StatusActive
Last updated in NPPESOct 16, 2024
Details
- NPI
- 1841010485
- Entity type
- Individual (NPI-1)
- Name
- Anastasia Burns
- Credential
- Medical Student
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 16, 2024
- Certification date
- Oct 16, 2024
- Last updated
- Oct 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1700 Medical WaySnellville, GA 30078-2195
Phone 770-979-0200
Mailing address
2225 Wisteria Dr Apt 1213Snellville, GA 30078-1119
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