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BURTON MEDICAL GROUP LLC NPI 1508169426


NPI Information

NPI: 1508169426
Provider Name: BURTON MEDICAL GROUP LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D0925488

Address:
210 MERCER JCT
MACON, GA
ZIP 31210
Phone: (478) 471-8593
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BURTON MEDICAL GROUP LLC is a family medicine in Macon, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BURTON MEDICAL GROUP LLC NPI is 1508169426. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

210 MERCER JCT
MACON, GA
ZIP 31210-016
Phone: (478) 471-8593
Fax: (478) 471-8599

The provider's authorized official is Lisa Sanford .
The authorized official title is Office Manager and has the following contact phone number (478) 471-8593.

The CLIA number assigned to this NPI record is 11D0925488 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/15/2010 and was last updated on 12/15/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine061948GEORGIANo
2207Q00000XFamily Medicine002499GEORGIANo
3207Q00000XFamily Medicine038434GEORGIAYes

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: 4/28/2024

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