Charles Roland Burnett in Memphis - Cardiovascular Disease

Charles Roland Burnett - NPI 1134122302

Charles Roland Burnett is a Cardiovascular Disease in Memphis, Tennessee. Charles Roland Burnett practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Charles Roland Burnett is 1134122302. The last update date is 2011-11-19.

Charles Roland Burnett's current location address is 80 Humphreys Ctr, Memphis, Tennessee. You can contact this provider via phone number 9017473330 and fax number 9017473245. The mailing address for Charles Roland Burnett is 80 Humphreys Ctr, Memphis, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Roland Burnett
Address 80 Humphreys Ctr, Memphis, Tennessee
Phone Number 9017473330
Fax Number 9017473245
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1134122302
Provider Enumeration Date 2005-05-23
Last Updated Date 2011-11-19

Provider Mailing Address Detail

Address 80 Humphreys Ctr
City Memphis
State Tennessee (TN)
Post Code 3812023610
Phone Number 9017473330
Fax Number 9017473245

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No MD014125
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
107284001 AR --
39811 TN TLC
202043303 MO --
4118485 TN AETNA
P00372263 MS RAIL ROAD MEDICARE
62116765701 QUALCHOICE
3194515 TN --
4146198 TN BCBS
81185 AR BCBS
13823 MS --

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FAQs about Charles Roland Burnett

What is the unique identifier code issued to Charles Roland Burnett by the Centers for Medicare & Medicaid Services (CMS)?

The Charles Roland Burnett has been assigned the NPI (National Provider Identifier) 1134122302. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Charles Roland Burnett is physically located?

The Charles Roland Burnett is situated at the following address: 80 Humphreys Ctr, Memphis, TN 3812023610.

What is Charles Roland Burnett's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Charles Roland Burnett is Cardiovascular Disease, and the taxonomy code that classifies this field of practice is 207Rc0000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1134122302 to Charles Roland Burnett?

The Centers for Medicare & Medicaid Services originally issued the 1134122302 to Charles Roland Burnett on 2005-05-23.

When was the information pertaining to Charles Roland Burnett most recently updated or revised?

The details related to Charles Roland Burnett, including its address, specialty, and other relevant information, were last updated or revised on 2011-11-19.

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