Tyrisa Burdine, SPECIALIST
NPI #1184201782 in Lithia Springs, Georgia
Provider Information
- NPI Number
- 1184201782
- Entity Type
- Individual
- Name
- Tyrisa Burdine, SPECIALIST
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist - Prosthetics Case Management
- Credential
- SPECIALIST
- Enumeration Date
- Mar 28, 2021
- Last Updated
- Mar 28, 2021
Practice Location
- Address
- 351 THORNTON RD STE 118
- City
- Lithia Springs
- State
- Georgia
- ZIP Code
- 30122-1589
- Phone
- (865) 455-8410
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist - Prosthetics Case Management — Prosthetics Case Management |
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