Mary Burriss
Gynecologist
1830 Pondfield Rd Ste A3
Newberry
, South Carolina 29108-9522
Mary Burriss
Gynecologist
1830 Pondfield Rd Ste A3
Newberry
, South Carolina 29108-9522
(803) 405-7140
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Mary Burriss
- 1830 Pondfield Rd Ste A3
- Newberry, SC
- Zip : 29108-9522
- Phone : (803) 405-7140
Second Address
- Mary Burriss
- 1830 Pondfield Rd Ste A3
- Newberry, SC
- Zip : 29108-9522
- Phone : (803) 405-7140
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | 84696 | SC |
National Provider Identifier
| NPI | 1003201781 |
|---|---|
| Provider Name | Mary Burriss |
| First Address | Newberry, SC 29108-9522 |
| Second Address | Newberry, SC 29108-9522 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/03/2015 |
| Last Update Date | 20/01/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.