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NPI Code Detail

MEDICARE: DAVID L BURDETT RT, MR

MEDICARE: DAVID L BURDETT RT, MR
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
1247100000XRadiologic Technologist340833
22471C3402XRadiography Radiologic Technologist340833
32471M1202XMagnetic Resonance Imaging Radiologic Technologist340833

General Provider Information

NPI Number : 1821101783
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID L BURDETT RT, MR
Provider Business Mailing Address
First Line : 9000 WATSON BLVD
Second Line : APT 708
City : BYRON
State : GA
Zip : 31008-6565
Country : US
Telephone Number : 478-955-2349
Fax Number :
Provider Business Practice Location Address
First Line : 1504 HARDEMAN AVE
Second Line : STE B
City : MACON
State : GA
Zip : 31201-1416
Country : US
Telephone Number : 478-745-3125
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2006
Last Update Date : 09/11/2025

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Directions to “ DAVID L BURDETT RT, MR” Practice Location

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