Individual
DR. LAURA GAYLE BURDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
169 ASHLEY AVENUE ROOM 202 MAIN HOSPITAL, MSC333, CHARLESTON, SC 29425
(843) 792-9888
Mailing address
169 ASHLEY AVE RM 202, CHARLESTON, SC 29425-8905
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
LL51324
SC
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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