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Dr. Stephen Marcel Burt, DO
General Practice Physician in Pearson, Georgia
NPI 1518062199

Stephen Marcel Burt is a General Practice Physician based in Pearson, GA. Stephen Marcel Burt practices in Pearson, GA and has the professional credentials of DO. The NPI Number for Stephen Marcel Burt is 1518062199 and holds a License No. 025727 (Georgia).

The current practice location address for Stephen Marcel Burt is 1111 Highway 441 North, Pearson, GA and can be reached out via phone at 912-422-7073 and via fax at 912-422-7019.

Location: 1111 Highway 441 North, Pearson, GA, 31642
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518062199
Provider Name
Stephen Marcel Burt
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1111 Highway 441 North, Pearson, GA, 31642
Phone Number
912-422-7073
Fax Number
912-422-7019
Provider Enumeration Date
09/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010062912 01 GA RAILROAD MEDICARE
00272995E 05 GA
institution
Provider Business Practice Location Address Details
Address
1111 Highway 441 North
City
Pearson
State
Georgia
Zip
31642
Phone Number
912-422-7073
Fax Number
912-422-7019
person
Provider Business Mailing Address Details
Address
1111 Highway 441 North
City
Pearson
State
Georgia
Zip
31642
Phone Number
912-422-7073
Fax Number
912-422-7019
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
025727 (Georgia)
Definition
Definition to come...
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