Columbus Benjamin Burns III, D.MIN.
Individual provider Active NPI Counselor · Savannah, GA
NPI 1407181563 · NPPES record last updated Oct 7, 2009
Key facts
- NPI
- 1407181563
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- LPC004393 (GA)
- Practice address
- 201 East 63Rd Street
Savannah, GA 31405-4226 - Phone
- (912) 660-4678
- Fax
- (912) 691-9007
- NPI assigned
- Oct 7, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC004393 | GA | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC004393 | GA | Yes |
Addresses
Primary practice location
201 East 63Rd Street
Savannah, GA 31405-4226
Mailing address
201 East 63Rd Street
Savannah, GA 31405-4226
Phone (912) 660-4678
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.