Individual
DR. CHARLES REED BURK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5655 FRIST BLVD, HERMITAGE, TN 37076-2053
(615) 316-3000
Mailing address
1011 MONROE LN, BRENTWOOD, TN 37027-8481
(903) 258-2996
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
3743
TN
207V00000X
Obstetrics & Gynecology Physician
E-11084
AR
207V00000X
Obstetrics & Gynecology Physician
K9236
TX
207V00000X
Obstetrics & Gynecology Physician
OS16017
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0032MT
BCBS OF TX
TX
05
—
173761101
—
TX
Enumeration date
08/22/2006
Last updated
11/01/2022
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