Provider Demographics
NPI:1902848179
Name:BURKE, VALERIE (MD,FACOG)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:
Last Name:BURKE
Suffix:
Gender:F
Credentials:MD,FACOG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1608 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:SC
Mailing Address - Zip Code:29526-3572
Mailing Address - Country:US
Mailing Address - Phone:843-248-4700
Mailing Address - Fax:
Practice Address - Street 1:145 PALMETTO POINTE RD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:SC
Practice Address - Zip Code:29571-6721
Practice Address - Country:US
Practice Address - Phone:843-423-2400
Practice Address - Fax:843-423-0704
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC18686207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC58-2478957OtherTAX ID
SCGP2572Medicaid
SC57-0679807OtherTAX ID
SC58-2478957OtherTAX ID