Individual
SUSAN K BURDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-7994
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 716-7994
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
200501708
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10215251
—
VA
01
—
141N0
BCBS
NC
01
—
184259
MEDCOST
NC
05
—
3810003764
—
WV
05
—
5902370
—
NC
01
—
7954758
AETNA
NC
01
—
806685
PARTNERS
NC
05
—
Q01709
—
SC
Enumeration date
11/28/2005
Last updated
08/19/2010
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