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Organization
ALLIANCE MEDICAL MINISTRY
Active
Organization
ALLIANCE MEDICAL MINISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN K. BURKETT MD (MEDICAL DIRECTOR)
(919) 250-3320
Entity
Organization
Contact information
Practice address
101 DONALD ROSS DRIVE, RALEIGH, NC 27610-2593
(919) 250-3320
(919) 250-3322
Mailing address
101 DONALD ROSS DRIVE, RALEIGH, NC 27610-2593
(919) 250-3320
(919) 250-3322
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/05/2019
Last updated
01/04/2024
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