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Contact Information

JACQUELYN BURT
24530 FALCON PLACE BLVD
SUITE 100
ABINGDON, VA24211-7665
 Phone: 276-619-0075
 Fax: 276-619-0077
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JACQUELYN BURT · (Female)

NPI # 1003238940
Status Active
Credentials
Entity Individual
Enumeration date 01/13/2014
Last updated 01/26/2015 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 27664
  • VA License # 0101257167
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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