Burnett Iii, Samuel T
Burnett Iii, Samuel T is an individual health care provider with primary practice located at 104 Liner Dr , Greenwood SC 29646-2310. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Burnett Iii, Samuel T can be contacted via phone (864) 227-1115.Contact Information
Primary practice address
104 Liner Dr
Greenwood SC 29646-2310
Phone: (864) 227-1115
Fax: (864) 227-2046
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | SC17063 | South Carolina |
Profile Details
| NPI number | 1942296074 |
|---|---|
| LBN Legal business name | Burnett Iii, Samuel T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | May 14th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942296074 | NPPES |
| South Carolina | MEDICAID | L10780 |
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