Individual
DR. SALLY ELAINE BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
996 MEDICAL RIDGE RD, CLINTON, SC 29325-4541
(864) 833-5654
(864) 833-2786
Mailing address
996 MEDICAL RIDGE RD, CLINTON, SC 29325-4541
(864) 833-5654
(864) 833-2786
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22952
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083652630
GROUP NPI #
SC
05
—
229522
—
SC
05
—
GP1856
—
SC
05
—
RHC152
—
SC
Enumeration date
01/23/2007
Last updated
04/22/2026
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