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Individual

AMANDA BETH BURGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
10525
NC
231H00000X
Audiologist
4020
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1796C
BCBS
NC
01
30166047
SELECT HEALTH
SC
01
4850126
AETNA
01
8745751
CIGNA
NC
01
P01528705
MEDICARE RAILROAD
NC
01
Q44075A
MEDICARE
NC
05
Q513425874
SC
05
SAN108
SC
Enumeration date
06/28/2013
Last updated
09/16/2022
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