BURKETT FAMILY PRACTICE LLC NPI 1669180741

NPI Information

NPI: 1669180741
Provider Name: BURKETT FAMILY PRACTICE, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 11D2294782

Address:
38 S TALLAHASSEE ST STE B
HAZLEHURST, GA
ZIP 31539
Phone: (912) 699-8800
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BURKETT FAMILY PRACTICE, LLC is a primary care clinic center in Hazlehurst, GA. BURKETT FAMILY PRACTICE, LLC NPI is 1669180741. The provider is registered as an organization entity type.

The provider's business location address is:

38 S TALLAHASSEE ST STE B
HAZLEHURST, GA
ZIP 31539-261
Phone: (912) 699-8800
Fax: (912) 699-8801

The provider's authorized official is Angela Marie Burkett .
The authorized official title is Family Nurse Practitioner and has the following contact phone number (912) 699-8800.

The CLIA number assigned to this NPI record is 11D2294782 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/8/2022 and was last updated on 11/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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