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Individual

MR. WALTER WOODROW BURNS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4301 BEN FRANKLIN BLVD, DURHAM, NC 27704
(919) 479-4400
(919) 479-4415
Mailing address
1851 E 3RD ST, CHARLOTTE, NC 28204-3205
(704) 384-9679
(704) 316-0508

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17677
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1560937001
CIGNA HEALTHCARE OF NC
NC
01
20211
BCBSNC
NC
05
8920211
NC
Enumeration date
11/25/2005
Last updated
01/23/2008
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