NPI 1073356440

Michael James Burks

Practitioner Contractor Cleveland, TN

Practice location

Address: 4155 Freewill Rd NW, Cleveland, TN 37312-1726
Phone: (423) 424-9958

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1073356440
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jun 2024
Record last updated: 14 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.