Organization
JOSEPH BURNETTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH J BURNETTE MD (OWNER)
(478) 330-6755
Entity
Organization
Contact information
Practice address
420 CHARTER BLVD, SUITE 320, MACON, GA 31210-4854
(478) 330-6755
(478) 330-6759
Mailing address
420 CHARTER BLVD, SUITE 320, MACON, GA 31210-4854
(478) 330-6755
(478) 330-6759
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
033286
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00430669A
—
GA
Enumeration date
05/16/2012
Last updated
05/16/2012
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