Provider Demographics
NPI:1710912837
Name:BURKS, APRIL NICOLE (MD)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:NICOLE
Last Name:BURKS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 W SUGAR CREEK RD
Mailing Address - Street 2:PO BOX 791036
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28213-6163
Mailing Address - Country:US
Mailing Address - Phone:704-941-2080
Mailing Address - Fax:704-941-2085
Practice Address - Street 1:608 SALISBURY ST
Practice Address - Street 2:608 SALISBURY STREET
Practice Address - City:WADESBORO
Practice Address - State:NC
Practice Address - Zip Code:28170-2027
Practice Address - Country:US
Practice Address - Phone:704-695-9200
Practice Address - Fax:704-695-9201
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200200654207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89132PHMedicaid
NC89132PHMedicaid
2401247Medicare ID - Type Unspecified