Burroughs, Zachary Taylor
Burroughs, Zachary Taylor is an sole proprietor health care provider with primary practice located at 701 Grove Rd Fl 1 , Greenville SC 29605-4210. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Burroughs, Zachary Taylor can be contacted via phone (864) 455-7899.Contact Information
Primary practice address
701 Grove Rd Fl 1
Greenville SC 29605-4210
Phone: (864) 455-7899
Fax: (864) 455-5474
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 40618 | South Carolina |
Profile Details
NPI number | 1922397934 |
---|---|
LBN Legal business name | Burroughs, Zachary Taylor |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 30th, 2011 |
Last updated | Jun 29th, 2021 - about 3 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 | 1922397934 | NPPES |
South Carolina | MEDICAID | Q0121X |
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