Search › Georgia › 101YA0400X
David Burris
NPI 1437633088 · on the registry since 2018
Practice
- Address
- 1875 Fant Dr
Fort Oglethorpe, GA 30742 - Phone
- (706) 861-3387
- Fax
- (706) 639-2054
- Organisation at this address
- Lookout Mountain Community Services
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-09-19
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 Georgia