Provider Demographics
NPI:1679006845
Name:BURKE-BRAY, NYKIA SHERIE (MD)
Entity Type:Individual
Prefix:
First Name:NYKIA
Middle Name:SHERIE
Last Name:BURKE-BRAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NYKIA
Other - Middle Name:SHERIE
Other - Last Name:BURKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7321 LAZY HAMMOCK WAY
Mailing Address - Street 2:
Mailing Address - City:FLOWERY BRANCH
Mailing Address - State:GA
Mailing Address - Zip Code:30542-7730
Mailing Address - Country:US
Mailing Address - Phone:404-966-6756
Mailing Address - Fax:
Practice Address - Street 1:4700 WATERS AVE
Practice Address - Street 2:OB/GYN RESIDENCY PROGRAM, MEMORIAL UNIVERSITY MEDICAL
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404-6220
Practice Address - Country:US
Practice Address - Phone:912-350-3595
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-05
Last Update Date:2023-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
GA90030207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program