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NPI Code Detail

MEDICARE: CLAUDE A BURNETT III M.D.

MEDICARE: CLAUDE A BURNETT III M.D.
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
12083P0901XPublic Health & General Preventive Medicine Physician016885GA

General Provider Information

NPI Number : 1609901198
Entity Type Code : Individual
Provider Name (Legal Business Name) : CLAUDE A BURNETT III M.D.
Provider Business Mailing Address
First Line : 220 RESEARCH DR
Second Line :
City : ATHENS
State : GA
Zip : 30605-2738
Country : US
Telephone Number : 706-583-2870
Fax Number : 706-548-5181
Provider Business Practice Location Address
First Line : 345 N HARRIS ST
Second Line :
City : ATHENS
State : GA
Zip : 30601-2411
Country : US
Telephone Number : 706-542-8600
Fax Number : 706-542-9754
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2007
Last Update Date : 07/08/2007

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