Individual
MARIANTHE MANAK BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 JONESTOWN RD, WINSTON SALEM, NC 27104-4623
(336) 768-9515
(336) 768-9082
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 768-9515
(336) 768-9082
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2006-00239
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5904111
—
NC
Enumeration date
05/17/2006
Last updated
10/14/2025
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