Dr KELLEY C BURG is a female medical professional, specializing in Nurse Practitioner. She graduated in 2009.
WEST TENNESSEE MEDICAL GROUP, INC
1700 WOODLAWN AVE
DYERSBURG
TN
380242028
Tel:
| Npi | 1659600344 |
| Pac Id | 2668501461 |
| Professional Enrollment Id | I20100603000126 |
| Last Name | BURG |
| First Name | KELLEY |
| Middle Name | C |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Secondary Specialty 1 | |
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| Organization Legal Name | WEST TENNESSEE MEDICAL GROUP, INC |
| Group Practice Pac Id | 3971781006 |
| Number Of Group Practice Members | 112 |
| Line 1 Street Address | 1700 WOODLAWN AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | DYERSBURG |
| State | TN |
| Zip Code | 380242028 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 440072 |
| Hospital Affiliation Lbn 1 | DYERSBURG REGIONAL MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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