MEDICARE: DR. WARREN W BURNHAM L.M.S.W., D.MIN.

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	101Y00000X	Counselor	MSW000689	GA

General Provider Information

NPI Number	:	1336388024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WARREN W BURNHAM L.M.S.W., D.MIN.

Provider Business Mailing Address
First Line	:	3633 WHEELER RD
Second Line	:	SUITE 210
City	:	AUGUSTA
State	:	GA
Zip	:	30909-6549
Country	:	US
Telephone Number	:	706-855-0563
Fax Number	:	706-855-0924

Provider Business Practice Location Address
First Line	:	3633 WHEELER RD
Second Line	:	SUITE 210
City	:	AUGUSTA
State	:	GA
Zip	:	30909-6549
Country	:	US
Telephone Number	:	706-855-0563
Fax Number	:	706-855-0924

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

Provider Enumeration Date	:	02/19/2009
Last Update Date	:	12/21/2025

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