Individual
MR. GREGORY L. BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(877) 263-8651
Mailing address
PO BOX 2326, INDIANAPOLIS, IN 46206-2326
(877) 263-8651
(888) 525-0381
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
2771
GA
363A00000X
Physician Assistant
Primary
2771
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100000899A
—
GA
05
—
100000899B
—
GA
Enumeration date
12/09/2005
Last updated
12/28/2023
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