| George Lewis Burruss, MD | |
| 80 Humphreys Ctr Ste 100, Memphis, TN 38120-2352 | |
| (901) 761-9030 | |
| (901) 473-6505 | 
| Full Name | George Lewis Burruss | 
|---|---|
| Gender | Male | 
| Speciality | Plastic Surgery | 
| Location | 80 Humphreys Ctr Ste 100, Memphis, Tennessee | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1104830264 | NPI | - | NPPES | 
| 0145960 | Other | TN | BLUECROSS BLUESHIELD TN | 
| 4064444 | Other | TN | AETNA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208200000X | Plastic Surgery | 10817 (Tennessee) | Primary | 
| Entity Name | The Plastic Surgery Group Of Memphis P.c. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1831102078 PECOS PAC ID: 6608854013 Enrollment ID: O20040712001171 | 
| Mailing Address | Practice Location Address | 
|---|---|
| George Lewis Burruss, MD 80 Humphreys Ctr Ste 100, Memphis, TN 38120-2352 Ph: (901) 761-9030 | George Lewis Burruss, MD 80 Humphreys Ctr Ste 100, Memphis, TN 38120-2352 Ph: (901) 761-9030 | 
| William Leslie Hickerson, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 890 Madison Ave, Suite Tg032, Memphis, TN 38103 Phone: 901-448-2579 Fax: 901-448-2602 | |
| Dr. Dani Kruchevsky, MD Plastic Surgery Medicare: Medicare Enrolled Practice Location: 1068 Cresthaven Rd Ste 500, Memphis, TN 38119 Phone: 901-866-8525 Fax: 901-302-2525 | |
| Patricia L. Eby, M.D. Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 6401 Poplar Ave, Suite 360, Memphis, TN 38119 Phone: 901-752-1412 | |
| Dr. Sylvia Shepherd Strock, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4634 Peppertree Lane, Memphis, TN 38117 Phone: 901-682-9110 | |
| Robert Louis Adams, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 80 Humphreys Ctr Ste 100, Memphis, TN 38120 Phone: 901-761-9030 Fax: 901-473-6505 | |
| Dr. Asghar Koleyni, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 6005 Park Avenue, Suite 1007b, Memphis, TN 38119 Phone: 901-761-2400 |