Individual
DAVID E BURTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1550 COLLEGE STREET, MACON, GA 31207-1554
(478) 301-4111
(478) 301-2387
Mailing address
1550 COLLEGE STREET, MACON, GA 31207-1554
(478) 301-4111
(478) 301-2387
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
024657
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000257386A
—
GA
01
—
080089790
RAILROAD MEDICARE
GA
Enumeration date
09/21/2006
Last updated
02/08/2008
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