Individual
KATHLEEN MORELAND BURDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
663 S 9TH ST, GRIFFIN, GA 30224-4215
(770) 227-9693
Mailing address
1646 SABASTIAN PT NE, ATLANTA, GA 30329-4705
(908) 256-9564
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015662
GA
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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