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Organization

ALLIANCE MEDICAL MINISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDWIN K. BURKETT MD (MEDICAL DIRECTOR)
(919) 250-3320
Entity
Organization

Contact information

Practice address
101 DONALD ROSS DRIVE, RALEIGH, NC 27610-2593
(919) 250-3320
(919) 250-3322
Mailing address
101 DONALD ROSS DRIVE, RALEIGH, NC 27610-2593
(919) 250-3320
(919) 250-3322

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
207Q00000X
Family Medicine Physician
Primary
207R00000X
Internal Medicine Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
06/05/2019
Last updated
01/04/2024
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