Gerald C Burnett MD Ltd

NPI #1104877679 in South Boston, Virginia

Provider Information

NPI Number: 1104877679
Entity Type: Organization
Organization Name: Gerald C Burnett MD Ltd
Primary Specialty: Dermatology
Enumeration Date: May 12, 2006
Last Updated: Apr 24, 2008

Practice Location

Address: 405 OAK LANE
City: South Boston
State: Virginia
ZIP Code: 24592-0835
Phone: (434) 572-6780

Authorized Official

Name: DR. GERALD CRAIN BURNETT SR., MD
Title: PRESIDENT
Phone: (434) 572-6780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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