Individual provider · Type 1 NPI
Roger Grady Burrus, MD
Specialist · Hendersonville, TN
NPI number
1114912656
Active
Practice location
123 Fairways Dr
Hendersonville, TN 37075-2610
Mailing address
323 Steam Plant Rd
Gallatin, TN 37066-3025
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 20833 (TN) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1114912656
Roger Grady Burrus, MD's National Provider Identifier is 1114912656, issued on Sep 12, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Hendersonville, TN. The record was last updated on Oct 30, 2015.