Provider Demographics
NPI:1457347874
Name:BURNS, JOSEPH P (MD)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:P
Last Name:BURNS
Suffix:
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 1:2450 OLD MILTON PKWY STE 204
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-2521
Mailing Address - Country:US
Mailing Address - Phone:470-267-0410
Mailing Address - Fax:770-999-2710
Practice Address - Street 1:2450 OLD MILTON PKWY STE 204
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-2521
Practice Address - Country:US
Practice Address - Phone:470-267-0410
Practice Address - Fax:770-999-2710
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA86971207XX0005X
GA56022207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWA86971AOtherMEDICARE
CAP00853294OtherRAILROAD MEDICARE
CAI09549Medicare UPIN