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Channing Burden
NPI 1538937263 · on the registry since 2023
Practice
- Address
- 812 Live Oak Dr
Clinton, MS 39056 - Phone
- (769) 203-0205
- Organisation at this address
- S & B Transportation Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-12
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