Nash Burnside, COTA

NPI 1326561895 · on the registry since 2017 · sole proprietor

Practice

Address: 201 Baker Blvd
Leland, MS 38756
Phone: (662) 686-4121
Fax: (662) 686-4770
Organisation at this address: Delta Health Alliance
Indianola Clinic, Llc
Delta Health Alliance, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 23

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi