Individual
PAUL L BURROUGHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. P.A
Contact information
Practice address
3801 WAKE FOREST RD STE 220, RALEIGH, NC 27609-6864
(919) 872-5296
(919) 850-9718
Mailing address
3801 WAKE FOREST RD STE 220, RALEIGH, NC 27609-6864
(919) 872-5296
(919) 850-9718
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
81464
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2272849A
MEDICARE PTAN
NC
Enumeration date
04/10/2006
Last updated
01/08/2020
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