SearchMississippi103TA0400X

Randy Burke, PH.D

NPI 1336173905 · on the registry since 2006

Practice

Address
1500 East Woodrow Wilson Drive
Addictive Disorders Treatment Program (116a4), Vamc
Jackson, MS 39216
Phone
(601) 362-4471
Fax
(601) 364-1298
Organisation at this address
Department Of Veterans Affairs
Inferred from a shared address, not stated in the registry.
Clinicians at this address
36

Registry record

Primary taxonomy
103TA0400X
103TA0400X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi