# HEALTHSPAN LLP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Burke Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417932583
- **Authorized official:** JENNIFER A ROYAL (ADMINISTRATOR)
- **Authorized official phone:** (706) 554-4435

## Contact information

- **Practice address:** 351 S LIBERTY ST, WAYNESBORO, GA 30830-9686
- **Practice address phone:** (706) 554-4435
- **Practice address fax:** (706) 554-4435
- **Mailing address:** 351 S LIBERTY ST, WAYNESBORO, GA 30830-9686
- **Mailing address phone:** (706) 554-4435
- **Mailing address fax:** (706) 554-4435

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 017563 | GA | Yes |

## Other

- **Enumeration date:** 12/13/2005
- **Last updated:** 08/21/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00000283A | — | GA |