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Prentiss Burke
NPI 1902247778 · on the registry since 2013
Practice
- Address
- 1223 27th Ave
Fairbanks, AL 99701 - Phone
- (404) 259-7674
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Also registered as
- 164W00000X
376K00000X - Licence states on file
- GA, TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama