Organization
BURTON MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA SANFORD (OFFICE MANAGER)
(478) 471-8593
Entity
Organization
Contact information
Practice address
210 MERCER JCT, MACON, GA 31210-4016
(478) 471-8593
(478) 471-8599
Mailing address
210 MERCER JCT, MACON, GA 31210-4016
(478) 471-8593
(478) 471-8599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
002499
GA
207Q00000X
Family Medicine Physician
Primary
038434
GA
207Q00000X
Family Medicine Physician
061948
GA
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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