Individual
DR. GREGORY M BURNETT
Active
Individual
DR. GREGORY M BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
D0089668
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XB9390751
SAMHSA MAT WAIVER
—
Enumeration date
06/07/2012
Last updated
03/07/2023
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