Individual
DR. ROBERT TUCKER BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
433 MCALISTER RD, LINCOLNTON, NC 28092-4147
(980) 212-1204
Mailing address
PO BOX 30637, CHARLOTTE, NC 28230-0637
(704) 973-5500
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
200300946
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116966
NORTH CAROLINA LICENSE #
NC
01
—
21590
SC MEDICAL LICENSE #
SC
05
—
215902
—
SC
05
—
89063EM
—
NC
Enumeration date
02/17/2006
Last updated
04/09/2018
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