Burt, Cassie Lucia

Burt, Cassie Lucia is an individual health care provider with primary practice located at 550 Peachtree St Ne Suite 1185, Atlanta GA 30308-2208. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Burt, Cassie Lucia can be contacted via phone (404) 223-0792.

Contact Information

Primary practice address
550 Peachtree St Ne Suite 1185 Atlanta GA 30308-2208
Phone: (404) 223-0792
Fax: (404) 223-5815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 004974 Georgia

Profile Details

NPI number 1326129172
LBN Legal business name Burt, Cassie Lucia
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Dec 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326129172 NPPES
Georgia MEDICAID 654954768N, O
Georgia Other CA9328

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