Individual
JOSHUA NELSON BURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-5432
Mailing address
PO BOX 1547, CHARLESTON, WV 25326-1547
(304) 388-6004
(304) 388-3360
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
3665
WV
390200000X
Student in an Organized Health Care Education/Training Program
0116030766
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
207Q00000X
FAMILY MEDICINE
VA
Enumeration date
06/22/2017
Last updated
07/21/2022
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