NPI 1841067675

Olie Anthony Burkes

Practitioner Driver Warner Robins, GA

Practice location

Address: 184 Abercorn St, Warner Robins, GA 31088-6782
Phone: (229) 379-1643

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 057275256 (GA)

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Registry record

NPI: 1841067675
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Dec 2023
Record last updated: 11 Jan 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.