Individual
DOROTHY BURNETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1070 HECKLE BLVD, ROCK HILL, SC 29732-2853
(803) 909-7300
Mailing address
790 SIMPSON RD, MC CONNELLS, SC 29726-7783
(803) 628-6586
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
16715
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16715
—
SC
Enumeration date
04/25/2014
Last updated
04/25/2014
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