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Individual

JEANINE LINEHAN-BURACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.-C.

Contact information

Practice address
3675 J DEWEY GRAY CIR STE 300, AUGUSTA, GA 30909-1868
(706) 863-9595
(706) 868-8375
Mailing address
PO BOX 3726, AUGUSTA, GA 30914-3726
(706) 863-9595
(706) 868-8375

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
0010-10111
NC
363AS0400X
Surgical Physician Assistant
Primary
004463
GA
363AS0400X
Surgical Physician Assistant
0110007257
VA
363AS0400X
Surgical Physician Assistant
PA-1741
ID
363AS0400X
Surgical Physician Assistant
PA0000004410
TN
363AS0400X
Surgical Physician Assistant
PA1200
SC
363AS0400X
Surgical Physician Assistant
PA13075
TX
363AS0400X
Surgical Physician Assistant
PA9111128
FL
363AS0400X
Surgical Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0282PA
SC
05
519646861A
GA
Enumeration date
03/21/2006
Last updated
06/03/2022
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