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STEVEN G BURDETTE ATC

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1083706378

Individual Registrant:
 STEVEN G BURDETTE ATC
Gender: M
Not Sole Proprietor

Location and contact information for practice:
100 GROSS CRESCENT CIR  FORT OGLETHORPE, GA 30742-3643 US
Tel: 706-858-2946  Fax: --

Contact information for business:
649 EAGLE VIEW DR  RINGGOLD, GA 30736-7093 US
Tel: 423-505-2709  Fax: --

Registration Information:
NPI: 1083706378
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer
GA000442AT

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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