Burdette, Marvin G.

Burdette, Marvin G. is an individual health care provider with primary practice located at 665 West Alexander Road , Greenwood SC 29646. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Burdette, Marvin G. can be contacted via phone (864) 227-2020.

Contact Information

Primary practice address
665 West Alexander Road Greenwood SC 29646
Phone: (864) 227-2020
Fax: (864) 227-2823
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 9229 South Carolina

Profile Details

NPI number 1730186099
LBN Legal business name Burdette, Marvin G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Jan 24th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730186099 NPPES
South Carolina MEDICAID 092296
South Carolina MEDICAID PA0515
South Carolina Other 180012150
South Carolina Other CE6166

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