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Individual
JENNIFER ELDER BURGART
Active
Individual
JENNIFER ELDER BURGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2012-02044
NC
207Q00000X
Family Medicine Physician
52437
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-002 -003
TRICARE/CHAMPUS
VA
01
—
07868
BC/BS
NC
01
—
10022001
SENTARA/OPTIMA
VA
05
—
1003010463
—
VA
01
—
2180421
UHC/MAMSI
VA
01
—
302882
ANTHEM
VA
01
—
302884
ANTHEM PFM
VA
05
—
5907686
—
NC
01
—
6039935
BCBS TENNESSEE
TN
01
—
PAR
MULTIPLAN
VA
05
—
Q000626
—
TN
Enumeration date
06/12/2007
Last updated
11/14/2018
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