Provider Demographics
NPI:1609901198
Name:BURNETT, CLAUDE A III (MD)
Entity Type:Individual
Prefix:
First Name:CLAUDE
Middle Name:A
Last Name:BURNETT
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 RESEARCH DR
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30605-2738
Mailing Address - Country:US
Mailing Address - Phone:706-583-2870
Mailing Address - Fax:706-548-5181
Practice Address - Street 1:345 N HARRIS ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30601-2411
Practice Address - Country:US
Practice Address - Phone:706-542-8600
Practice Address - Fax:706-542-9754
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0168852083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine