Burks, Tandeka Nix
Burks, Tandeka Nix is an individual health care provider with primary practice located at 150 Robeson St , Fayetteville NC 28301-5570. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Burks, Tandeka Nix can be contacted via phone (910) 609-6350.Contact Information
Primary practice address
150 Robeson St
Fayetteville NC 28301-5570
Phone: (910) 609-6350
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 200001515 | North Carolina |
Profile Details
| NPI number | 1689675001 |
|---|---|
| LBN Legal business name | Burks, Tandeka Nix |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689675001 | NPPES |
| North Carolina | MEDICAID | 89132P3 | |
| North Carolina | Other | 132P3 |
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