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NPI Code Detail

MEDICARE: WILLIAM JOSEPH BURRELL PA-C

MEDICARE:   WILLIAM JOSEPH BURRELL  PA-C
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
1363A00000XPhysician Assistant0110005740VA
2363A00000XPhysician Assistant0010-10960NC
3363AM0700XMedical Physician Assistant

General Provider Information

NPI Number : 1316909583
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM JOSEPH BURRELL PA-C
Provider Business Mailing Address
First Line : 130 CARDIAL DRIVE
Second Line :
City : ROANOKE RAPIDS
State : NC
Zip : 27870-8591
Country : US
Telephone Number : 252-308-0686
Fax Number :
Provider Business Practice Location Address
First Line : 130 CARDINAL DR
Second Line :
City : ROANOKE RAPIDS
State : NC
Zip : 27870-4946
Country : US
Telephone Number : 252-308-0868
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2006
Last Update Date : 01/03/2025

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Directions to “ WILLIAM JOSEPH BURRELL PA-C” Practice Location

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