Individual
GEOFFREY R BURBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
322 MULBERRY ST SW, SUITE A, LENOIR, NC 28645-5702
(828) 757-6400
(828) 757-6424
Mailing address
PO BOX 710, LENOIR, NC 28645-0710
(828) 757-5070
(828) 757-5939
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200101431
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
130GK
BCBS
NC
05
—
890130GK
—
NC
Enumeration date
06/07/2006
Last updated
07/30/2012
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