Organization
HOSPITALMD PTC IP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BURNETTE (CEO)
(706) 276-4741
Entity
Organization
Contact information
Practice address
88 MARTIN LUTHER KING JR DR, FORSYTH, GA 31029-1682
(478) 994-2521
Mailing address
88 MARTIN LUTHER KING JR DR, FORSYTH, GA 31029-1682
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
02/19/2013
Last updated
11/16/2018
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