NPI 1003845579

Jeanie Burch, ATC

Practitioner Athletic Trainer Greenwood, MS

Practice location

Address: 1802 Strong Ave, Greenwood, MS 38930-3910
Phone: (662) 392-5599
Fax: (662) 459-7139
Mailing address: 1308 Magnolia St, Greenwood, MS 38930-2222

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT0233 (MS)

Other Specialist/Technologist providers in Mississippi →

Registry record

NPI: 1003845579
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Jun 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.