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NPI 1376474965

NPI 1376474965 : BURRIS MEDICAL TRANSPORTATION : ATLANTA, GA

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General NPI Number Information
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    NPI Number           |    1376474965
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    Entity Type          |    Organization 
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    Legal Business Name  |    BURRIS MEDICAL TRANSPORTATION 
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Dates
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    Enumeration Date     |    05/25/2026
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    Last Update Date     |    05/25/2026
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Provider Practice Location Address
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    Address Line         |    898 OAK ST SW 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30310-1959
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    Country              |    US
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    Telephone            |    678-850-3509
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    Fax                  |    678-850-3509
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Provider Business Mailing Address
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    Address Line         |    898 OAK ST SW UNIT 3425 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30310-1974
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    Country              |    US
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    Telephone            |    678-850-3509
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    Fax                  |    678-850-3509
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Authorized Official
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    Title or Position    |    FAMILY AND AESTHETIC MEDICINE
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    Name                 |     NIJAH  BURRIS 
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    Credential           |    MD
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    Telephone            |    678-850-3509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    347B00000X
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    Taxonomy Name        |    Bus
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    343900000X
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    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
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    License Number       |    
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    License Number State |    
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