Individual
SANDRA BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6228 BRADLEY PARK DR STE A, COLUMBUS, GA 31904-3605
(706) 322-1486
(706) 324-3419
Mailing address
6228 BRADLEY PARK DR STE A, COLUMBUS, GA 31904-3605
(706) 322-1486
(706) 324-3419
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN112087
GA
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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