Individual
DR. STACY J BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
520 N ELAM AVE, GREENSBORO, NC 27403
(336) 547-1792
(336) 547-1769
Mailing address
520 N ELAM AVE, GREENSBORO, NC 27403-1127
(336) 547-1792
(336) 547-1769
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2016-01315
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427243740
—
NC
01
—
19L9B
BCBSNC
NC
Enumeration date
09/10/2007
Last updated
10/08/2021
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