Individual
PATRICK RUSSELL BURNSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2001 VAIL AVENUE, CAROLINAS MEDICAL CENTER-MERCY DEPT EM, CHARLOTTE, NC 28207
(704) 304-5000
(704) 355-3039
Mailing address
2429 VAIL AVE APT B13, CHARLOTTE, NC 28207-1940
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
102833
NC
363A00000X
Physician Assistant
102833
NC
Other
Enumeration date
10/26/2006
Last updated
03/06/2012
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