Individual
DEBORAH BURKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
103 ANN LN, CAYCE, SC 29033-2701
(803) 739-4180
Mailing address
103 ANN LN, CAYCE, SC 29033-2701
(803) 739-4180
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
25304
SC
Other
Enumeration date
06/01/2013
Last updated
06/01/2013
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