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Individual
JAMES RYAN BURKE
Active
Individual
JAMES RYAN BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
30076
SC
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
049484
GA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
30076
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300766
—
SC
Enumeration date
02/19/2007
Last updated
07/02/2020
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