Individual
MR. CHRISTOPHER ANDREW BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU. D., CCCA
Contact information
Practice address
306 SUNSET DR, SUITE 103, JOHNSON CITY, TN 37604-2492
(423) 328-9190
(423) 328-9189
Mailing address
108 E 11TH AVE, JOHNSON CITY, TN 37601-3929
(423) 914-2846
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A0000001468
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
BLUE CROSS PROVIDER
TN
Enumeration date
10/06/2006
Last updated
03/12/2015
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