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General NPI Number Information
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NPI Number | 1992868509
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Entity Type | Organization
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Legal Business Name | HOSPITALMD, INC.
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 317 HIGHWAY 13 S
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City | MORTON
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State | MS
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Zip | 39117-3353
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Country | US
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Telephone | 601-732-1069
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Fax | 601-732-8978
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Provider Business Mailing Address
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Address Line | 401 CAMDEN COPE P.O. BOX 2087
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-2455
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Country | US
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Telephone | 678-364-1422
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Fax | 678-364-1423
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES HAROLD BURNETTE
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Credential |
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Telephone | 678-364-1422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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