Provider Demographics
NPI:1578919320
Name:BURKETT, WESLEY CROFT JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WESLEY
Middle Name:CROFT
Last Name:BURKETT
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2006 BROOKWOOD MEDICAL CTR DR STE 104
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-6853
Mailing Address - Country:US
Mailing Address - Phone:205-877-5100
Mailing Address - Fax:205-877-5108
Practice Address - Street 1:2006 BROOKWOOD MEDICAL CTR DR STE 104
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6853
Practice Address - Country:US
Practice Address - Phone:205-877-5100
Practice Address - Fax:205-877-5108
Is Sole Proprietor?:No
Enumeration Date:2016-05-11
Last Update Date:2023-08-15
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL46740207VX0201X
OK32302207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology