Individual
HAROLD C. BURCHEL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
233 DOCTORS ST, SPARTA, NC 28675-9247
(336) 372-3214
(336) 372-1597
Mailing address
861 SW 78TH AVE, PLANTATION, FL 33324-3273
(877) 693-5700
(954) 625-6034
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
18395
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19976
BLUE CROSS
NC
05
—
8919976
—
NC
01
—
930123583
RAILROAD MEDICARE
—
Enumeration date
05/11/2006
Last updated
09/30/2010
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