Individual
JENNIFER BURGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 COMMONS BLVD STE C, PIEDMONT, SC 29673-7766
(864) 220-9115
Mailing address
21 CAREX CT, TAYLORS, SC 29687-3865
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21509
SC
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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