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CPT Code 12034 for Intmd rpr s/tr/ext 7.6-12.5 - Denial Journal
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Individual Provider

DIANE ABBY BURR, D.O.

NPI 1255374278 Active Internal Medicine
Quick Facts
NPI Number
1255374278
Type
Individual (NPI-1)
Credential
D.O.
Status
Active
Enumeration Date
2006-06-14
Last Updated (NPPES)
2017-12-11

Primary Specialty / Taxonomy

TaxonomyInternal Medicine
Taxonomy Code207R00000X
License60148 GA

Other Taxonomies

  • Internal Medicine — License 2010-00067
  • Hospitalist — License 2010-00067
  • Internal Medicine — License 101009860
  • Internal Medicine — License 1823

Practice Address

402 ADAMSON SQUARE
STE 6
CARROLLTON, GA 301171816

Phone: 700-836-1178

Mailing Address

402 ADAMSON SQUARE
CARROLLTON, GA 301171816

Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.

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