Individual
DR. JENNIFER REGAN BURDETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3055 HILLSDALE DR, AUGUSTA, GA 30909-3427
(706) 306-9169
Mailing address
3055 HILLSDALE DR, AUGUSTA, GA 30909-3427
(706) 306-9169
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
033040
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000505436A
—
GA
Enumeration date
02/10/2010
Last updated
02/10/2010
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