Individual
DR. TED D BURROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28448
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284481
—
SC
01
—
562173631
TAX ID
SC
Enumeration date
04/11/2006
Last updated
11/11/2025
Update your record
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