EDMUND T BURDO PA-AA
Nursing Yellow Pages
Macon, Georgia
Provider NPI: 1306067210
Provider Information:EDMUND T BURDO PA-AA
Practice Location:
777 HEMLOCK ST MACON, GA 31201 US
Tel: 866-507-5244 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 367H00000X | Physician Assistants & Advanced Practice Nursing Providers Anesthesiologist Assistant | GA | 001915 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PEACHSTATE CMO - MCCG | 100000434A | GA | 01 |
100000434A | GA | 05 | |
WELLCARE CMO - MCCG | 344285 | GA | 01 |
RAILROAD MCR - MCCG | 430051041 | GA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin