Individual
SHANNON BURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
587 SKYLINE DR, JACKSON, TN 38301-3938
(731) 422-7900
(731) 599-4246
Mailing address
257 BANCORP SOUTH PKWY, JACKSON, TN 38305-7582
(731) 660-7971
(731) 660-8739
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4804
TN
207RP1001X
Pulmonary Disease Physician
Primary
4804
TN
Other
Enumeration date
05/06/2016
Last updated
08/24/2022
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