Individual
JIMENA C BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
54 HAWTHORNE RD, BLUFFTON, SC 29910-4952
(843) 705-8888
(843) 705-7024
Mailing address
40 OKATIE CENTER BLVD S STE 100, BLUFFTON, SC 29909-7519
(843) 705-8888
(843) 705-7024
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25688
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256886
—
SC
01
—
656877299
WRK. COMP. ID NO.
SC
Enumeration date
02/08/2006
Last updated
10/27/2016
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