Provider Demographics
NPI:1780609404
Name:BURNETT, DOUGLAS W (PA)
Entity type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:W
Last Name:BURNETT
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:1100 TUNNEL RD
Mailing Address - Street 2:VAMC MEDICINE SERVICE
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-2043
Mailing Address - Country:US
Mailing Address - Phone:828-299-2515
Mailing Address - Fax:828-299-5885
Practice Address - Street 1:1100 TUNNEL RD
Practice Address - Street 2:VAMC MEDICINE SERVICE
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-2043
Practice Address - Country:US
Practice Address - Phone:828-299-2515
Practice Address - Fax:828-299-5885
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical