Organization
OKATIE SURGICAL PARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KYLE BURTNETT (SVP OF OUTPATIENT SERVICES, TENET)
(469) 893-2153
Entity
Organization
Contact information
Practice address
40 OKATIE CENTER BLVD S, SUITE 100, OKATIE, SC 29909-7507
(843) 705-8888
(843) 705-7024
Mailing address
PO BOX 405820, ATLANTA, GA 30384-5820
(843) 705-8888
(843) 705-7024
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5163
—
SC
Enumeration date
01/23/2009
Last updated
06/16/2016
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