Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | DS7640 | TN |
NPI | 1134119753 |
---|---|
Provider Name | Yvette L Burns |
First Address | Chattanooga, TN 37421-6038 |
Second Address | Hixson, TN 37343-3987 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2005 |
Last Update Date | 08/07/2007 |