Organization
THE BURNSIDE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED FLOURNOY BURNSIDE JR. M.D. (PRIVATE PHYSICIAN/OWNER)
(803) 787-1113
Entity
Organization
Contact information
Practice address
1011 ARCADIA LAKES DR, COLUMBIA, SC 29206-1324
(803) 787-1113
(803) 181-1704
Mailing address
1011 ARCADIA LAKES DR, COLUMBIA, SC 29206-1324
(803) 787-1113
(803) 181-1704
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0334
SC
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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