Individual
PROF. JEFF KARL BURNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
107 SPRING ST, TALLAPOOSA, GA 30176-1293
(770) 574-2914
(770) 574-2896
Mailing address
107 SPRING ST, TALLAPOOSA, GA 30176-1293
(770) 574-2914
(770) 574-2896
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH021337
GA
Other
Enumeration date
10/06/2022
Last updated
10/06/2022
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