Mrs Mary H Burks, RD | |
150 Courthouse Rd Ste 301-b, Princeton, WV 24740-2450 | |
(304) 425-0162 | |
(304) 425-0163 |
Full Name | Mrs Mary H Burks |
---|---|
Gender | Female |
Speciality | Dietitian, Registered - Nutrition, Renal |
Location | 150 Courthouse Rd Ste 301-b, Princeton, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255600722 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133VN1005X | Dietitian, Registered - Nutrition, Renal | 726-136 (West Virginia) | Primary |
Provider Name | Charleston Area Medical Center Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1124248752 PECOS PAC ID: 3375441637 Enrollment ID: O20031223000426 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mary H Burks, RD 2006 Devonshire Ct, Bluefield, WV 24701-1268 Ph: (304) 920-2767 | Mrs Mary H Burks, RD 150 Courthouse Rd Ste 301-b, Princeton, WV 24740-2450 Ph: (304) 425-0162 |
Melissa Wilbur, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 122 12th St, Princeton, WV 24740 Phone: 304-487-7000 | |
Tisha James, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 122 12th St, Princeton, WV 24740 Phone: 304-487-7639 | |
Clarence David Tawney, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 109 Morrison Dr, Princeton, WV 24740 Phone: 304-487-7639 Fax: 304-487-7693 |