Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GARRY WAYNE BURKS, PA
Active Sole ProprietorGARRY WAYNE BURKS, PA is a Medical Physician Assistant healthcare provider located in CLARKRANGE, Tennessee. NPI 1407866387 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · CLARKRANGE, TN
Registration Details
- NPI Number
- 1407866387
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2006 (20.016562879595 yrs)
- Last Updated
- Mar 25, 2024
- License
-
PA454 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6845 S YORK HWYCLARKRANGE, TN, 385535154Browse TN providers · Browse ZIP 38553
- Phone
- 9318635095
- Fax
- 9318633530
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.