MEDICARE: DR. CHRISTOPHER MICHAEL BURKET MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	79127	GA

General Provider Information

NPI Number	:	1164566196
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER MICHAEL BURKET MD

Provider Business Mailing Address
First Line	:	900 CIRCLE 75 PKWY SE STE 1700
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-3087
Country	:	US
Telephone Number	:	770-953-6929
Fax Number	:	770-953-6972

Provider Business Practice Location Address
First Line	:	6002 PROFESSIONAL PKWY
Second Line	:
City	:	DOUGLASVILLE
State	:	GA
Zip	:	30134-5600
Country	:	US
Telephone Number	:	770-949-8552
Fax Number	:	770-949-6966

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	11/06/2017

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