Individual
RICHARD BURKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PASTOR
Contact information
Practice address
2225 HIGHWAY 82 E, GREENVILLE, MS 38703-6841
(662) 394-3278
Mailing address
3570 SHERWOOD DR, GREENVILLE, MS 38703-8209
(662) 347-0888
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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