Individual
BURNETT WILLIAM GALLMAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4100 MAIN ST, SUITE 201, COLUMBIA, SC 29203-5800
(803) 786-0980
(803) 786-6452
Mailing address
4100 MAIN ST, SUITE 201, COLUMBIA, SC 29203-5800
(803) 786-0980
(803) 786-6452
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
99244
SC
207RG0100X
Gastroenterology Physician
99244
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0099244
—
SC
Enumeration date
07/25/2006
Last updated
10/01/2013
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