Healthcare Provider Details

I. General information

NPI: 1497818264
Provider Name (Legal Business Name): ARVIL WESLEY BURKS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 03/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4032 BONDURANT HL CB #7000
CHAPEL HILL NC
27599-7000
US

IV. Provider business mailing address

4032 BONDURANT HL CB #7000
CHAPEL HILL NC
27599-7000
US

V. Phone/Fax

Practice location:
  • Phone: 919-966-4161
  • Fax:
Mailing address:
  • Phone: 919-966-4161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number2003-00568
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number2003-00568
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: