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NPI Code Detail

MEDICARE: JAIME BURKLE MD

MEDICARE:   JAIME  BURKLE  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
1207UN0901XNuclear Cardiology Physician048881GA
2207RC0000XCardiovascular Disease Physician36904GA

General Provider Information

NPI Number : 1326042052
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAIME BURKLE MD
Provider Business Mailing Address
First Line : PO BOX 742616
Second Line :
City : ATLANTA
State : GA
Zip : 30374-2616
Country : US
Telephone Number : 770-219-8420
Fax Number : 770-219-8440
Provider Business Practice Location Address
First Line : 200 S ENOTA DR NE STE 100
Second Line :
City : GAINESVILLE
State : GA
Zip : 30501-3466
Country : US
Telephone Number : 770-534-2020
Fax Number : 770-534-8025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 07/21/2022

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Directions to “ JAIME BURKLE MD” Practice Location

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