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Individual

STEVEN G BURDETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
100 GROSS CRESCENT CIR, FORT OGLETHORPE, GA 30742-3643
(706) 858-2946
Mailing address
649 EAGLE VIEW DR, RINGGOLD, GA 30736-7093
(423) 505-2709

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000442AT
GA

Other

Enumeration date
09/28/2006
Last updated
07/08/2007
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