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Individual

DR. JACK CHARLES BURNS II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
210 BROOKS ST STE 200, CHARLESTON, WV 25301-1848
(304) 388-1930
(304) 388-1929
Mailing address
210 BROOKS ST STE 200, CHARLESTON, WV 25301-1848
(304) 388-1930
(304) 388-1929

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
29742
WV
2086S0122X
Plastic and Reconstructive Surgery Physician
R3446
KY

Other

Enumeration date
06/30/2014
Last updated
12/13/2023
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