Individual
TEREASA BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 COPPERFIELD BLVD NE, CONCORD, NC 28025-2428
(704) 782-3131
Mailing address
515 CLANTON RD, CHARLOTTE, NC 28217-1309
(704) 332-9001
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
056697
NC
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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