Individual
OLIE ANTHONY BURKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
184 ABERCORN ST, WARNER ROBINS, GA 31088-6782
(229) 379-1643
Mailing address
184 ABERCORN ST, WARNER ROBINS, GA 31088-6782
(229) 379-1643
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
057275256
GA
Other
Enumeration date
12/12/2023
Last updated
01/11/2024
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