Individual
DR. WILLIAM PATRICK BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2711 RANDOLPH RD, BLDG 400, CHARLOTTE, NC 28207-2027
(704) 348-2992
(704) 334-3061
Mailing address
1620 SCOTT AVE, CHARLOTTE, NC 28203-5848
(704) 332-0366
(704) 971-0035
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
26089
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260890
—
SC
05
—
79-19989
—
NC
Enumeration date
05/16/2006
Last updated
12/11/2007
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