Provider Demographics
NPI:1235667510
Name:BURCH, EMMA K (MD)
Entity type:Individual
Prefix:DR
First Name:EMMA
Middle Name:K
Last Name:BURCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:EMMA
Other - Middle Name:KATHERINE
Other - Last Name:RAVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1500 COMMONWEALTH AVE
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23185-5229
Mailing Address - Country:US
Mailing Address - Phone:757-585-2200
Mailing Address - Fax:
Practice Address - Street 1:1500 COMMONWEALTH AVE
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185-5229
Practice Address - Country:US
Practice Address - Phone:757-585-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-31
Last Update Date:2024-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125070743207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine