Individual
KATHY HORNE BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 PAMPLICO HWY, FLORENCE, SC 29505-6047
(843) 674-2500
Mailing address
PO BOX 603898, CHARLOTTE, NC 28260-3898
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19351
SC
363LF0000X
Family Nurse Practitioner
5007629
NC
Other
Enumeration date
05/12/2015
Last updated
12/06/2021
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