Individual
STEPHEN B BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1552 PRANCER CT, GASTONIA, NC 28056-1685
(704) 865-5139
Mailing address
1552 PRANCER CT, GASTONIA, NC 28056-1685
(704) 865-5139
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9900444
NC
Other
Enumeration date
01/25/2006
Last updated
08/14/2012
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