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Contact Information

KENYETTA R BURROUGHS, M.A.
4411 ROSEMONT DR
COLUMBUS, GA31904-5634
 Phone: 706-327-0279
 Fax: 706-327-5294
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for KENYETTA R BURROUGHS · (Female)

NPI # 1154734648
Status Active
Credentials M.A.
Entity Individual
Enumeration date 06/03/2014
Last updated 06/03/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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