Individual
DR. CHARLES BARNETT BURCH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
175 HAWTHORNE PARK, ATHENS, GA 30606
(706) 353-7860
(706) 354-1913
Mailing address
175 HAWTHORNE PARK, ATHENS, GA 30606
(706) 353-7860
(706) 354-1913
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8977
GA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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