Individual
DR. HARRY E. BURCK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1514 SPARTA ST, MC MINNVILLE, TN 37110-1317
(931) 473-8400
(931) 473-0620
Mailing address
1514 SPARTA ST, MC MINNVILLE, TN 37110-1317
(931) 473-8400
(931) 473-0620
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD0000009361
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040609
BLUE CROSS
TN
01
—
0440418
UNITED HEALTHCARE
—
01
—
110194120
RAILROAD MEDICARE
—
05
—
3175187
—
TN
Enumeration date
09/23/2005
Last updated
11/10/2020
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