Individual
TAMARA BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 KIMEL PARK DR, WINSTON SALEM, NC 27103-6946
(336) 768-3296
Mailing address
190 KIMEL PARK DR, WINSTON SALEM, NC 27103-6946
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME85258
FL
Other
Enumeration date
03/24/2006
Last updated
02/25/2009
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