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Physician Compare National (NPI:1164469193)

HEALTHCARE PROVIDER: JANELLA LYNNE THOMAS-BURSE M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1164469193
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 5496751737
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20090716000724
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name THOMAS BURSE
Individual professional last name
Provider First Name JANELLA
Individual professional first name
Provider Middle Name L
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.

Medical School Information

Medical School Name MOREHOUSE SCHOOL OF MEDICINE
Individual professional's medical school
Graduation Year 1991
Individual professional's medical school graduation year
Primary Specialty OBSTETRICS/GYNECOLOGY
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name BETTER HEALTH GREATER LIFE LLC
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 7810221173
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 2
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 3334 HWY 155
Group Practice or individual's line 1 address
Line 2 Street Address SUITE B
Group Practice or individual's line 2 address
City LOCUST GROVE
Group Practice or individual's city
State GA
Group Practice or individual's state
Zip Code 302483513
Group Practice or individual's zip code (9 digits when available)
Phone Number 4048357779
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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