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1588814131
TARA BLALOCK BURGHER
CHARLOTTE, NC
NPI
1588814131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 2020-00713)
Enumeration Date
2008-09-19
Last Update Date
2024-07-15
Business Address
TARA BLALOCK BURGHER DO
10620 PARK RD STE 202
CHARLOTTE, NC 28210-8472
Phone number: 704-667-0920
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Mailing Address
TARA BLALOCK BURGHER DO
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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