Individual
DARCY JO BURGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1725 NEW HANOVER MEDICAL PARK DR, WILMINGTON, NC 28403-5345
(910) 662-9300
(910) 662-2401
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-02342
NC
363AM0700X
Medical Physician Assistant
0010-02342
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568PA
—
SC
05
—
1780905620
—
NC
05
—
8101051
—
NC
Enumeration date
06/15/2010
Last updated
08/07/2024
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