Individual
MRS. CYNTHIA LONIGAN BURKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
25 NORTH JOHNSON STREET, COATS, NC 27521
(910) 897-6423
(910) 897-2540
Mailing address
PO BOX 819, COATS, NC 27521-0819
(910) 897-6423
(910) 897-2540
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
102972
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0123L
BCBS ID NUMBER
NC
05
—
89014N5
—
NC
Enumeration date
07/20/2006
Last updated
07/09/2007
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