Burdette, Fred M.

Burdette, Fred M. is an individual health care provider with primary practice located at 1920 Warm Springs Rd Ste 1009, Columbus GA 31904-8031. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Burdette, Fred M. can be contacted via phone (706) 596-8200.

Contact Information

Primary practice address
1920 Warm Springs Rd Ste 1009 Columbus GA 31904-8031
Phone: (706) 596-8200
Fax: (706) 571-0207
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 018618 Georgia

Profile Details

NPI number 1508814054
LBN Legal business name Burdette, Fred M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Nov 30th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508814054 NPPES
Georgia MEDICAID 000151093K
Georgia MEDICAID 154326
Georgia Other 202I782712

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