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Organization

HOSPITALMD OF SPARTA-IP, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES H BURNETTE (PRESIDENT)
(678) 364-1422
Entity
Organization

Contact information

Practice address
818 E BROADWAY ST, SPARTA, IL 62286-1820
(618) 443-2177
Mailing address
200 WESTPARK DR, SUITE 325, PEACHTREE CITY, GA 30269-3534
(770) 632-6981
(770) 631-8473

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary

Other

Enumeration date
11/12/2007
Last updated
12/12/2007
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