Individual
JOHN MICHAEL BURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
16 RAVEN WOOD WAY, POOLER, GA 31322-4006
(770) 312-3828
Mailing address
16 RAVEN WOOD WAY, POOLER, GA 31322-4006
(770) 312-3828
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001571
GA
Other
Enumeration date
09/11/2009
Last updated
01/06/2015
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