Individual
DR. HENRY WARREN BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 OAKWOOD DR STE 380, WINSTON SALEM, NC 27103-1958
(336) 765-3930
(336) 765-3483
Mailing address
110 OAKWOOD DR STE 380, WINSTON SALEM, NC 27103-1958
(336) 765-3930
(336) 765-3483
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
9600016
NC
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
9600016
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8920027
—
NC
Enumeration date
03/24/2006
Last updated
11/17/2020
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