Provider Demographics
NPI:1962693796
Name:BURROW, REX L JR (MD)
Entity type:Individual
Prefix:DR
First Name:REX
Middle Name:L
Last Name:BURROW
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:8066 WALNUT RUN RD
Mailing Address - Street 2:STE 100
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38018-8842
Mailing Address - Country:US
Mailing Address - Phone:901-252-3411
Mailing Address - Fax:901-763-4305
Practice Address - Street 1:305 RAWLS DR
Practice Address - Street 2:
Practice Address - City:MCCOMB
Practice Address - State:MS
Practice Address - Zip Code:39648-2833
Practice Address - Country:US
Practice Address - Phone:601-684-0465
Practice Address - Fax:601-684-3031
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2020-09-17
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Provider Licenses
StateLicense IDTaxonomies
TN51249207ZP0105X
MS04964207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory Medicine