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Contact Information

LAFAYETTE BURKS, MD
865 S 1ST ST
JESUP, GA31545
 Phone: 904-805-1300
 Fax: 904-805-1302
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for LAFAYETTE BURKS · (Male)

NPI Number 1952497760
Status Active
Credentials MD
Entity Individual
Enumeration date 10/05/2006
Last updated 01/17/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 50502
  • Other P00270549 RAILROAD MEDICARE
  • GA Other 945875 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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