Individual
CARLY BURCHFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
21 HIGHLAND AVE SE STE 100, ROANOKE, VA 24013-2218
(540) 344-9213
Mailing address
1215 LEE ST, MAIL STOP 800501, CHARLOTTESVILLE, VA 22908-0816
(434) 924-5321
(434) 982-3816
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0102208522
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2021
Last updated
04/10/2024
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