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Individual
DR. ROBERT TUCKER BURKS
Active
Individual
DR. ROBERT TUCKER BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
200300946
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116966
NORTH CAROLINA LICENSE #
NC
01
—
21590
SC MEDICAL LICENSE #
SC
05
—
215902
—
SC
05
—
89063EM
—
NC
Enumeration date
02/17/2006
Last updated
04/09/2018
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