Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 39164 | NC |
NPI | 1790811982 |
---|---|
Provider Name | Dr. Jana Kaye Burson |
First Address | Cornelius, NC 28031-7114 |
Second Address | Cornelius, NC 28031-7114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2007 |
Last Update Date | 08/07/2007 |