Burke, Gregory L.
Burke, Gregory L. is an individual health care provider with primary practice located at 1968 Peachtree Rd Nw , Atlanta GA 30309-1281. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Burke, Gregory L. can be contacted via phone (877) 263-8651.Contact Information
Primary practice address
1968 Peachtree Rd Nw
Atlanta GA 30309-1281
Phone: (877) 263-8651
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 2771 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2771 | Georgia |
Profile Details
| NPI number | 1508841792 |
|---|---|
| LBN Legal business name | Burke, Gregory L. |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 9th, 2005 |
| Last updated | Dec 28th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508841792 | NPPES |
| Georgia | MEDICAID | 100000899A | |
| Georgia | MEDICAID | 100000899B |
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