| Organization Name: | BURLINGTON MEDICAL PRACTICE, PA |
| NPI Number: | 1740348838 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL EDWARD BLOCKER (PRESIDENT) |
| Mailing Address: | 1248 Huffman Mill Rd Suite 103 Burlington |
| State: | NC US |
| Postal Code: | 272158700 |
| Phone Number: | 3365845200 |
| Fax Number: | 3365840099 |
| NPI Enumeration Date: | 12/04/2006 |
| NPI Last Update Date: | 04/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | 200600619 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |