Individual
MATTHEW BURKHALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(601) 376-1000
Mailing address
1850 CHADWICK DR, JACKSON, MS 39204-3404
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/27/2018
Last updated
10/02/2019
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