Burch, Mary Catherine
Burch, Mary Catherine is an individual health care provider with primary practice located at 15 Riverbend Dr Sw Ste 100, Rome GA 30161-6065. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Burch, Mary Catherine can be contacted via phone (706) 291-0884.Contact Information
Primary practice address
15 Riverbend Dr Sw Ste 100
Rome GA 30161-6065
Phone: (706) 291-0884
Fax: (706) 235-0405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 084921 | Georgia |
Profile Details
| NPI number | 1609853324 |
|---|---|
| LBN Legal business name | Burch, Mary Catherine |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2005 |
| Last updated | Jun 12th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609853324 | NPPES |
| Georgia | MEDICAID | 0092323813 |
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