Thomas-Burse, Janella Lynne

Thomas-Burse, Janella Lynne is an individual health care provider with primary practice located at 1720 Phoenix Blvd Suite 700, College Park GA 30349-5594. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as her primary health care specialty. Thomas-Burse, Janella Lynne can be contacted via phone (404) 446-4792.

Contact Information

Primary practice address
1720 Phoenix Blvd Suite 700 College Park GA 30349-5594
Phone: (404) 446-4792
Fax: (404) 446-4793
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 043493 Georgia

Profile Details

NPI number 1164469193
LBN Legal business name Thomas-Burse, Janella Lynne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1164469193 NPPES
Georgia MEDICAID 732174576A

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