Individual
ELIZABETH BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R00031684
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
571020809006
BCBS SC
SC
01
—
571020809011
TRICARE SC
SC
05
—
NP0755
—
SC
Enumeration date
05/30/2006
Last updated
08/07/2007
Update your record
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