Channing Burden Valid NPI
Individual provider · Driver · Clinton, MS
- NPI
- 1538937263
- Type
- Individual (Type 1)
- Primary specialty
- Driver
- Specialty group
- Other Service Providers
- Taxonomy code
- 172A00000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2023-12-12
- Last updated
- 2023-12-12
Practice location
812 Live Oak Dr
Clinton, MS 39056-3621
(769) 203-0205