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NPI Code Detail

MEDICARE: JOY C BURBECK M.D.

MEDICARE: JOY C BURBECK 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
1207RC0200XCritical Care Medicine (Internal Medicine) PhysicianMD27072TN
2207RP1001XPulmonary Disease PhysicianMD27072TN

General Provider Information

NPI Number : 1578569034
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOY C BURBECK M.D.
Provider Business Mailing Address
First Line : 6025 WALNUT GROVE RD
Second Line : STE 508
City : MEMPHIS
State : TN
Zip : 38120-2125
Country : US
Telephone Number : 901-767-5864
Fax Number : 901-767-6591
Provider Business Practice Location Address
First Line : 1500 W POPLAR AVE
Second Line : STE 206
City : COLLIERVILLE
State : TN
Zip : 38017-0601
Country : US
Telephone Number : 901-850-1170
Fax Number : 901-850-1169
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 11/08/2011

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