Healthcare Provider Details

I. General information

NPI: 1912338351
Provider Name (Legal Business Name): MEGAN BRITTNEY BURRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2013
Last Update Date: 12/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1006 POWDERMILL RD
GATLINBURG TN
37738-5502
US

IV. Provider business mailing address

1006 POWDERMILL RD
GATLINBURG TN
37738-5502
US

V. Phone/Fax

Practice location:
  • Phone: 865-640-6889
  • Fax:
Mailing address:
  • Phone: 865-640-6889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: