Search › Georgia › 156FX1800X
Jeffrey Burnett, LDO
NPI 1629287214 · on the registry since 2007 · sole proprietor
Practice
- Address
- 6945 Deer Creek Trce
Stone Mountain, GA 30087 - Phone
- (404) 918-1916
- Fax
- (678) 267-2865
- Organisation at this address
- The Optical Center Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 156FX1800X
156FX1800X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia