Provider Demographics
NPI:1912710583
Name:BURCHETT, OLIVIA PAIGE (PA-C)
Entity type:Individual
Prefix:MISS
First Name:OLIVIA
Middle Name:PAIGE
Last Name:BURCHETT
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:PO BOX 801
Mailing Address - Street 2:
Mailing Address - City:PAINTSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41240-0801
Mailing Address - Country:US
Mailing Address - Phone:859-629-9788
Mailing Address - Fax:
Practice Address - Street 1:1825 OLD ALABAMA RD STE 201
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-2258
Practice Address - Country:US
Practice Address - Phone:770-393-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant