# ALLIANCE MEDICAL MINISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992363758
- **Authorized official:** DR. EDWIN K. BURKETT MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (919) 250-3320

## Contact information

- **Practice address:** 101 DONALD ROSS DRIVE, RALEIGH, NC 27610-2593
- **Practice address phone:** (919) 250-3320
- **Practice address fax:** (919) 250-3322
- **Mailing address:** 101 DONALD ROSS DRIVE, RALEIGH, NC 27610-2593
- **Mailing address phone:** (919) 250-3320
- **Mailing address fax:** (919) 250-3322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 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