Provider Demographics
NPI:1770683872
Name:BURNS, DARLENE M (MD, MPH)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:M
Last Name:BURNS
Suffix:
Gender:F
Credentials:MD, MPH
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Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7950 MARTIN LOOP
Mailing Address - Street 2:DEPT OF PREVENTIVE MEDICINE, BLDG 2615, SOLDIERS PLAZA
Mailing Address - City:FORT BENNING
Mailing Address - State:GA
Mailing Address - Zip Code:31905-5647
Mailing Address - Country:US
Mailing Address - Phone:706-545-7330
Mailing Address - Fax:
Practice Address - Street 1:7950 MARTIN LOOP
Practice Address - Street 2:DEPT OF PREVENTIVE MEDICINE, BLDG 2615, SOLDIERS PLAZA
Practice Address - City:FORT BENNING
Practice Address - State:GA
Practice Address - Zip Code:31905-5647
Practice Address - Country:US
Practice Address - Phone:706-545-7330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA0569632083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine