Individual
DR. JASON ODELL BURNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MIMOSA DR, THOMASVILLE, GA 31792-6676
(229) 228-5500
Mailing address
900 CAIRO RD, THOMASVILLE, GA 31792-4255
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
003111
GA
208800000X
Urology Physician
Primary
069097
GA
Other
Enumeration date
06/25/2008
Last updated
08/03/2020
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