Individual provider · Type 1 NPI
Stephen Marcel Burt, DO
General Practice Physician · Pearson, GA
NPI number
1518062199
Active
Practice location
1111 Highway 441 North
Pearson, GA 31642
Fax (912) 422-7019
Mailing address
P.o. Box 425, 1111 Highway 441 North
Pearson, GA 31642
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 025727 (GA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1518062199
Stephen Marcel Burt, DO's National Provider Identifier is 1518062199, issued on Sep 14, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Pearson, GA. The record was last updated on Oct 19, 2012.