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Individual

MICHAEL R BURNETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RNFA

Contact information

Practice address
646 MEREVA RD, SMYRNA, SC 29743-9747
(803) 493-3229
Mailing address
646 MEREVA RD, SMYRNA, SC 29743-9747
(803) 493-3229

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
50871
SC

Other

Enumeration date
10/17/2006
Last updated
07/08/2007
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