Burgess, Theresa Catherine

Burgess, Theresa Catherine is an sole proprietor health care provider with primary practice located at 725 Highland Ave Suite 100, Winston Salem NC 27101-4180. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Burgess, Theresa Catherine can be contacted via phone (336) 607-8523.

Contact Information

Primary practice address

725 Highland Ave Suite 100 Winston Salem NC 27101-4180

Phone: (336) 607-8523

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Allopathic & Osteopathic Physicians / Psychiatry	2084P0800X	28950	North Carolina

Profile Details

NPI number	1477544377
LBN Legal business name	Burgess, Theresa Catherine
Credentials	Doctor of Medicine (MD)
Entity	Individual
Sole proprietor ¹	Yes
Enumeration date	Oct 31st, 2005
Last updated	Nov 18th, 2020 - about 4 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.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1477544377	NPPES
North Carolina	MEDICAID	891114P

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