Most Relevant Information
Provider Data
| NPI Number: | 1003238940 |
| Provider Name: | JACQUELYN BURT |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 27664 |
Most Important Dates
| Enumeration Date: | 01/13/2014 |
| Last Updated: | 01/26/2015 |
Provider Practice Location
24530 FALCON PLACE BLVD
SUITE 100
ABINGDON
VA
242117665
Practice Location Phone/Fax
| Phone: | 2766190075 |
| Fax: | 2766190077 |
Provider Mailing Location
105 W STONE DR
SUITE 6A
KINGSPORT
TN
376603365
Provider Mailing Phone/Fax
| Phone: | 4234008722 |
| Fax: | 4234087405 |
Suggested EMR
Family Practice EMR