Individual
DANIEL JON BURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
257 HOSPITAL DRIVE SUITE 200, BOLIVIA, NC 28422-8411
(910) 721-4000
(910) 721-4001
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-09345
NC
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/12/2019
Last updated
05/11/2023
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