Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | 29105 | SC |
N | 208200000X | Surgeon | 29105 | SC |
N | 208600000X | Surgeon | 29105 | SC |
NPI | 1912954595 |
---|---|
Provider Name | Maureen Burdett |
First Address | Rock Hill, SC 29732-1186 |
Second Address | Rock Hill, SC 29732 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2006 |
Last Update Date | 15/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
202660098 | GAFFNEY HMA PHYSICIAN MANAGEMENT (01) | SC |
20-2660098 | DR. MAUREEN BURDETT (01) | SC |
GP4558 | DR. MAUREEN BURDETT (05) | SC |
H39218 | (02) | SC |