Individual
BRIAN BURKHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
519 STEPHENSON AVE, SAVANNAH, GA 31405-5969
(912) 354-9447
Mailing address
519 STEPHENSON AVE, SAVANNAH, GA 31405-5969
(912) 354-9447
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
12170
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013012145
—
GA
Enumeration date
12/23/2022
Last updated
04/02/2025
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