Garry Wayne Burks is a Medical in Clarkrange, Tennessee. Garry Wayne Burks practices all healthcare services and medical treatments related to Medical. The NPI Number for Garry Wayne Burks is 1407866387. The last update date is 2019-06-04.
Garry Wayne Burks's current location address is 6845 S York Hwy, Clarkrange, Tennessee. You can contact this provider via phone number 9318635095 and fax number 9318633530. The mailing address for Garry Wayne Burks is 6845 S York Hwy, Clarkrange, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Garry Wayne Burks |
|---|---|
| Address | 6845 S York Hwy, Clarkrange, Tennessee |
| Phone Number | 9318635095 |
| Fax Number | 9318633530 |
| Sole Proprietor | Y |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1407866387 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2019-06-04 |
Provider Mailing Address Detail
| Address | 6845 S York Hwy |
|---|---|
| City | Clarkrange |
| State | Tennessee (TN) |
| Post Code | 385535154 |
| Phone Number | 9318635095 |
| Fax Number | 9318633530 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA454 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3104164 | TN | BLUE CROSS BLUE SHEILD TN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Garry Wayne Burks by the Centers for Medicare & Medicaid Services?
The Garry Wayne Burks has been issued the NPI (National Provider Identifier) 1407866387, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Garry Wayne Burks?
The Garry Wayne Burks is physically situated at 6845 S York Hwy, in the city of Clarkrange, state of TN, with the postal code 385535154.
What is Garry Wayne Burks's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Garry Wayne Burks's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1407866387 to Garry Wayne Burks?
The Centers for Medicare & Medicaid Services originally issued the 1407866387 to Garry Wayne Burks on 2006-08-09.
When was the information regarding Garry Wayne Burks, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Garry Wayne Burks, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-06-04.