Sharon R. Burnside, M.d.,p.c. | |
6906 Kingston Pike Suite 200 Knoxville TN 37919-5704 | |
(865) 588-4044 | |
(865) 588-6990 |
Full Name | Sharon R. Burnside, M.d.,p.c. |
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Speciality | Psychiatry & Neurology |
Location | 6906 Kingston Pike, Knoxville, Tennessee |
Authorized Official Name and Position | Sharon R Burnside (PRESIDENT) |
Authorized Official Contact | 8655884044 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sharon R. Burnside, M.d.,p.c. Po Box 10687 Knoxville TN 37939-0687 Ph: (865) 588-4044 | Sharon R. Burnside, M.d.,p.c. 6906 Kingston Pike Suite 200 Knoxville TN 37919-5704 Ph: (865) 588-4044 |
NPI Number | 1972892081 |
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Provider Enumeration Date | 03/30/2011 |
Last Update Date | 02/06/2024 |
Certification Date | 02/06/2024 |
Medicare PECOS PAC ID | 2567649056 |
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Medicare Enrollment ID | O20110609000615 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972892081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
Provider Name | Sharon R Burnside |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1043231319 PECOS PAC ID: 0840380713 Enrollment ID: I20071214000641 |
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