Burton Medical Clinic Pc

LBN: Burton Medical Clinic Pc
Burton Medical Clinic Pc is an health care organization with primary practice located at 39 Kent Rd 1, Tifton GA 31794-1649. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Burton Medical Clinic Pc can be contacted via phone (229) 391-3577, or through Luke, Kerri via phone (229) 391-3577.

Contact Information

Primary practice address
39 Kent Rd 1 Tifton GA 31794-1649
Phone: (229) 391-3577
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Luke, Kerri
Phone: (229) 391-3577

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 031888 Georgia

Profile Details

NPI number 1033235346
LBN Legal business name Burton Medical Clinic Pc
DBA Doing business as
Authorized official Luke, Kerri
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2007
Last updated Oct 31st, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033235346 NPPES
Georgia MEDICAID 000398593E

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