Individual
MARK A BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11550 COMMON OAKS DR, SUITE 100, RALEIGH, NC 27614-7298
(919) 453-5740
(919) 453-5741
Mailing address
120 WILLIAM PENN PLZ, DURHAM, NC 27704-2150
(919) 220-5255
(919) 313-1276
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2000-00371
NC
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
2000-00371
NC
Other
Enumeration date
08/21/2006
Last updated
10/01/2013
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