Provider Demographics
NPI:1760431811
Name:BURNS, THOMAS (PSYD, ABPP, CN)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:BURNS
Suffix:
Gender:M
Credentials:PSYD, ABPP, CN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5461 MERIDIAN MARK RD STE 180
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-3112
Mailing Address - Country:US
Mailing Address - Phone:404-785-2849
Mailing Address - Fax:404-785-2851
Practice Address - Street 1:5461 MERIDIAN MARK RD STE 180
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-3112
Practice Address - Country:US
Practice Address - Phone:404-785-2849
Practice Address - Fax:404-785-2851
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY0020172084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology