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Individual

DR. SAMUEL EDWARD BURKETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3624 J DEWEY GRAY CIR STE 308, AUGUSTA, GA 30909-6580
(706) 922-7400
Mailing address
300 W HOSPITAL RD # 7B-48, FORT EISENHOWER, GA 30905-5741
(210) 846-3543
(706) 787-6829

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101239063
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
89373
GA
207RP1001X
Pulmonary Disease Physician
Primary
89373
GA

Other

Enumeration date
02/14/2006
Last updated
01/16/2025
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