# ANNETTE LOUISE BENNETT-BURNETT

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1861691487
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 29899 | SC | Yes |
| 207R00000X | Internal Medicine Physician | LL29899 | SC | — |

## Other

- **Enumeration date:** 07/13/2007
- **Last updated:** 11/25/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1861691487 | NPI | SC |
| 05 | — | 298993 | — | SC |
| 01 | — | DQ5333 | RAILROAD MEDICARE | SC |
| 05 | — | GP0077 | — | SC |
| 05 | — | GP5407 | — | SC |
| 01 | — | P01505879 | RAILROAD MEDICARE | SC |