Organization
GERALD C BURNETT MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD CRAIN BURNETT SR. MD (PRESIDENT)
(434) 572-6780
Entity
Organization
Contact information
Practice address
405 OAK LANE, SOUTH BOSTON, VA 24592-0835
(434) 572-6780
(434) 572-6033
Mailing address
405 OAK LANE, PO BOX 835, SOUTH BOSTON, VA 24592-0835
(434) 572-6780
(434) 572-6033
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101017885
VA
Other
Enumeration date
05/12/2006
Last updated
04/24/2008
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