Healthcare Provider Details
I. General information
NPI: 1073640629
Provider Name (Legal Business Name): DAVID A BURNS PSYCHIATRIST
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/28/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
109 HOLIDAY CT A-4
FRANKLIN TN
37067-3000
US
IV. Provider business mailing address
109 HOLIDAY CT A-4
FRANKLIN TN
37067-3000
US
V. Phone/Fax
- Phone: 615-791-4208
- Fax: 615-791-9852
- Phone: 615-791-4208
- Fax: 615-791-9852
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 173000000X |
| Taxonomy | Legal Medicine |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: