Provider Demographics
NPI:1174725584
Name:BURKS, ALLEN COLE (MD)
Entity type:Individual
Prefix:DR
First Name:ALLEN
Middle Name:COLE
Last Name:BURKS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:160 DENTAL CIR # CB7219
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-5021
Mailing Address - Country:US
Mailing Address - Phone:919-966-0440
Mailing Address - Fax:919-843-1116
Practice Address - Street 1:101 MANNING DRIVE NORTH CAROLINA CANCER HOSPITAL
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599
Practice Address - Country:US
Practice Address - Phone:919-966-0440
Practice Address - Fax:984-974-8616
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2019-01-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2013030528207RP1001X
NC2017-01345207RP1001X
MO2013020964207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine