Provider Demographics
NPI:1669800744
Name:BURNS, ANNA LEONG (CERTIFIED DERMA TECH)
Entity type:Individual
Prefix:MS
First Name:ANNA
Middle Name:LEONG
Last Name:BURNS
Suffix:
Gender:F
Credentials:CERTIFIED DERMA TECH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6065 ROSWELL RD STE 360
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30328-4059
Mailing Address - Country:US
Mailing Address - Phone:404-860-1671
Mailing Address - Fax:
Practice Address - Street 1:6065 ROSWELL RD STE 360
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-4059
Practice Address - Country:US
Practice Address - Phone:404-860-1671
Practice Address - Fax:407-650-2754
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-28
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other