Sally Elaine Burgess in Clinton - Specialist
Sally Elaine Burgess - NPI 1194879452
Sally Elaine Burgess is a Specialist in Clinton, South Carolina. Sally Elaine Burgess practices all healthcare services and medical treatments related to Specialist. The NPI Number for Sally Elaine Burgess is 1194879452. The last update date is 2007-07-09.
Sally Elaine Burgess's current location address is 996 Medical Ridge Rd, Clinton, South Carolina. You can contact this provider via phone number 8648335654 and fax number 8648332786. The mailing address for Sally Elaine Burgess is 996 Medical Ridge Rd, Clinton, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sally Elaine Burgess |
|---|---|
| Address | 996 Medical Ridge Rd, Clinton, South Carolina |
| Phone Number | 8648335654 |
| Fax Number | 8648332786 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1194879452 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 996 Medical Ridge Rd |
|---|---|
| City | Clinton |
| State | South Carolina (SC) |
| Post Code | 293254541 |
| Phone Number | 8648335654 |
| Fax Number | 8648332786 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 22952 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 229522 | SC | -- | |
| RHC152 | SC | -- | |
| GP1856 | SC | -- | |
| 1083652630 | SC | GROUP NPI # |
Post Comment/ Review Below
What is the Sally Elaine Burgess's 1194879452?
The Sally Elaine Burgess's NPI (National Provider Identifier) Number is 1194879452. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Sally Elaine Burgess located?
The Sally Elaine Burgess is located at 996 Medical Ridge Rd, Clinton, SC 293254541.
What is the area of specialization for Sally Elaine Burgess, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Sally Elaine Burgess is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.
On what date was the 1194879452 assigned to Sally Elaine Burgess?
The Sally Elaine Burgess was issued its 1194879452 on 2007-01-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Sally Elaine Burgess last refreshed?
The information related to the Sally Elaine Burgess, including its address, specialty, and other relevant details, was last updated on 2007-07-09.