| Afton M. Burt, Ph.d., P.c. | |
|
8615 Anchor On Lanier Ct Gainesville GA 30506-6785 | |
| (770) 534-9100 | |
| (770) 534-9104 |
| Full Name | Afton M. Burt, Ph.d., P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 8615 Anchor On Lanier Ct, Gainesville, Georgia |
| Authorized Official Name and Position | Afton M Burt (PROVIDER) |
| Authorized Official Contact | 7705349100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Afton M. Burt, Ph.d., P.c. 8615 Anchor On Lanier Ct Gainesville GA 30506-6785 Ph: (770) 534-9100 | Afton M. Burt, Ph.d., P.c. 8615 Anchor On Lanier Ct Gainesville GA 30506-6785 Ph: (770) 534-9100 |
| NPI Number | 1649442260 |
|---|---|
| Provider Enumeration Date | 03/25/2008 |
| Last Update Date | 08/24/2022 |
| Certification Date | 08/24/2022 |
| Medicare PECOS PAC ID | 5698672582 |
|---|---|
| Medicare Enrollment ID | O20031218000048 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649442260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY001728 (Georgia) | Primary |
| Provider Name | Afton M Lavallee |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023021987 PECOS PAC ID: 3779480660 Enrollment ID: I20031219000395 |
| Provider Name | Melanie Burt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457073843 PECOS PAC ID: 9537530886 Enrollment ID: I20230124001168 |
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