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Individual

BEN E BURNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
711 CHESTERFIELD HWY, CHERAW, SC 29520-7002
(843) 537-7881
(843) 320-3481
Mailing address
711 CHESTERFIELD HWY, CHERAW, SC 29520-7002
(843) 537-7881
(843) 320-3481

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R52394
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
195743
UNISON
SC
01
2004374
SELECT HEALTH
SC
05
8051531
NC
05
AN0893
SC
Enumeration date
12/05/2007
Last updated
04/20/2008
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