Mya A Burgoon
NPI #1699354258 in Charlotte, North Carolina
Provider Information
- NPI Number
- 1699354258
- Entity Type
- Individual
- Name
- Mya A Burgoon
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Midwife, Lay
- Enumeration Date
- Apr 2, 2021
- Last Updated
- Apr 2, 2021
Practice Location
- Address
- 8000 JOHNSON CREEK RD
- City
- Charlotte
- State
- North Carolina
- ZIP Code
- 28215-9403
- Phone
- (704) 258-8439
Specialties & Taxonomy Codes
| Specialty |
|---|
| Midwife, Lay |
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