Burman, Holly Elizabeth

Burman, Holly Elizabeth is an individual health care provider with primary practice located at 880 Crestmark Dr Suite 200, Lithia Springs GA 30122-2646. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Burman, Holly Elizabeth can be contacted via phone (770) 941-8662.

Contact Information

Primary practice address
880 Crestmark Dr Suite 200 Lithia Springs GA 30122-2646
Phone: (770) 941-8662
Fax: (770) 739-6006
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN124541 Georgia

Profile Details

NPI number 1366590119
LBN Legal business name Burman, Holly Elizabeth
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2007
Last updated May 20th, 2015 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366590119 NPPES
Georgia MEDICAID 090369480D
Georgia MEDICAID 090369480B
Georgia MEDICAID 090369480C

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