Individual
MR. JEFFREY BURNETT SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
6945 DEER CREEK TRCE, STONE MOUNTAIN, GA 30087-5477
(404) 918-1916
(678) 267-2865
Mailing address
6945 DEER CREEK TRCE, STONE MOUNTAIN, GA 30087-5477
(404) 918-1916
(678) 267-2865
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
2104
GA
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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