Organization
MARK L BURTMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK L BURTMAN M.D. (DR.)
(662) 329-9191
Entity
Organization
Contact information
Practice address
505 WILLOWBROOK RD, COLUMBUS, MS 39705-2016
(662) 329-9191
(662) 329-9194
Mailing address
505 WILLOWBROOK RD, COLUMBUS, MS 39705-2016
(662) 329-9191
(662) 329-9194
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18110
MS
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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