Burroughs, Wallace F
Burroughs, Wallace F is an individual health care provider with primary practice located at 1031 W Madison Ave , Athens TN 37303-3498. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Burroughs, Wallace F can be contacted via phone (423) 745-6575.Contact Information
Primary practice address
1031 W Madison Ave
Athens TN 37303-3498
Phone: (423) 745-6575
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD09614 | Tennessee |
Profile Details
| NPI number | 1952306029 |
|---|---|
| LBN Legal business name | Burroughs, Wallace F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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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