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Individual
MICHAEL LEE BURTON
Active
Individual
MICHAEL LEE BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006815
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003148046A
—
GA
01
—
20297I1312
MEDICARE
GA
Enumeration date
06/10/2013
Last updated
11/03/2014
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