Individual
WALTER M BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
823 GRAND AVE, YAZOO CITY, MS 39194-3233
(662) 751-8289
(662) 751-8279
Mailing address
PO BOX 11407 DEPT 1998, BIRMINGHAM, AL 35246-1998
(662) 751-8289
(662) 751-8279
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
09770
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114468
—
MS
Enumeration date
10/05/2006
Last updated
11/29/2018
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