Individual
JETTIE MARITA BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1415 HOWELL MILL RD NW, ATLANTA, GA 30318-4223
(404) 881-6417
(770) 996-1472
Mailing address
1415 HOWELL MILL RD NW, ATLANTA, GA 30318-4223
(404) 881-6417
(770) 996-1472
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
24783
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00273017A
—
GA
Enumeration date
05/20/2006
Last updated
03/20/2025
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