Individual
ANTHONY BURKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
859 CLAXTON AVE N, ELBA, AL 36323-1531
(404) 273-2178
Mailing address
859 CLAXTON AVE N, ELBA, AL 36323-1531
(404) 273-2178
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
861568627
—
AL
Enumeration date
03/31/2022
Last updated
03/31/2022
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