Burgess, Shawn T

Burgess, Shawn T is an individual health care provider with primary practice located at 501 S Sharon Amity Rd Ste 300 , Charlotte NC 28211-0035. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Burgess, Shawn T can be contacted via phone (704) 377-2424.

Contact Information

Primary practice address
501 S Sharon Amity Rd Ste 300 Charlotte NC 28211-0035
Phone: (704) 377-2424
Fax: (704) 377-2687
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 52338 Georgia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2007-00097 North Carolina

Profile Details

NPI number 1659397800
LBN Legal business name Burgess, Shawn T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Nov 28th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659397800 NPPES
North Carolina Other 145G7 BCBS
North Carolina Other N00091 BCBS
North Carolina MEDICAID 5907523 BCBS

Popular Providers