Individual
DR. GEORGE EDWARD BURNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
424 JETT DR, JACKSON, KY 41339-9621
(606) 666-6000
(606) 666-6107
Mailing address
PO BOX 790, JACKSON, KY 41339-0790
(606) 666-6607
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20414
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64204142
—
KY
Enumeration date
07/19/2005
Last updated
02/20/2012
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