Provider Demographics
NPI:1588248785
Name:BURDEN, ARMANGER MILLICENT
Entity type:Individual
Prefix:
First Name:ARMANGER
Middle Name:MILLICENT
Last Name:BURDEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 LABRADOR DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31909-4826
Mailing Address - Country:US
Mailing Address - Phone:706-577-4064
Mailing Address - Fax:
Practice Address - Street 1:4601 LABRADOR DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31909-4826
Practice Address - Country:US
Practice Address - Phone:706-577-4064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management