Individual
DR. EDWARD HALE BURNSIDE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
396 LAWERANCE RD, HARDWICK, GA 30134
(478) 445-6111
Mailing address
220 WARM SPRINGS TRL, MCDONOUGH, GA 30252-8065
(478) 445-6111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
030969
GA
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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