# BURKE HOSPITAL COMPANY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southeastern Spine and Pain
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952035198
- **Authorized official:** MICHAEL S HESTER (CEO)
- **Authorized official phone:** (912) 369-9400

## Contact information

- **Practice address:** 1067 PEACHTREE ST, LOUISVILLE, GA 30434-1558
- **Practice address phone:** (912) 542-0444
- **Practice address fax:** (833) 639-1102
- **Mailing address:** 1067 PEACHTREE ST, LOUISVILLE, GA 30434-1558

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/13/2022
- **Last updated:** 09/26/2022