Burks, Scott G

Burks, Scott G is an individual health care provider with primary practice located at 101 Medical Park , Hattiesburg MS 39401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Burks, Scott G can be contacted via phone (601) 579-3000.

Contact Information

Primary practice address
101 Medical Park Hattiesburg MS 39401
Fax: (601) 579-5240
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 13869 Mississippi

Profile Details

NPI number 1255348645
LBN Legal business name Burks, Scott G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jul 14th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1255348645 NPPES
Mississippi MEDICAID 00115603
Mississippi MEDICAID 1990795
Mississippi Other 1559012

Popular Providers