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NPI Code Detail

MEDICARE: DR. CAROLYN ADELL BURNS M.D.

MEDICARE: DR. CAROLYN ADELL BURNS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician0101043414VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2110054802OTHERVARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1313668OTHERVAMAMSI
3276187OTHERVAANTHEM/VA HEALTHKEEPERS
477728OTHERVAANTHEM/VA HEALTHKEEPERS
5276221OTHERVAANTHEM/VA HEALTHKEEPERS
64323068OTHERVAAETNA/US HEALTHCARE
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8103808OTHERVAANTHEM/VA HEALTHKEEPERS
927413300OTHERVAFEDERAL BLACK LUNG
10276288OTHERVAANTHEM/VA HEALTHKEEPERS
1144213OTHERVASENTARA HEALTH/OPTIMA
121891603OTHERVACIGNA
13276257OTHERVAANTHEM/VA HEALTHKEEPERS
14276341OTHERVAANTHEM/VA HEALTHKEEPERS
1556280OTHERVASOUTHERN HEALTH
16727072OTHERVAAETNA/US HEALTHCARE HMO

General Provider Information

NPI Number : 1063453801
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROLYN ADELL BURNS M.D.
Provider Business Mailing Address
First Line : PO BOX 780125
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19178-0125
Country : US
Telephone Number : 804-922-4844
Fax Number : 804-545-4340
Provider Business Practice Location Address
First Line : 9000 STONY POINT PKWY
Second Line :
City : RICHMOND
State : VA
Zip : 23235-1900
Country : US
Telephone Number : 804-560-8920
Fax Number : 804-998-1255
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2006
Last Update Date : 12/14/2023

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