Individual
DANIEL BURLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1212 CENTRAL DR STE 103, SANFORD, NC 27330-4170
(919) 935-0773
Mailing address
2911 BREEZEWOOD AVE STE 100, FAYETTEVILLE, NC 28303-5464
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08684
NC
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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