Individual
LUKE LESLIE BURCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1305 S SUBER RD, GREER, SC 29650
(864) 989-4609
(864) 989-4610
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35064
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350649
—
SC
01
—
P01196771
RAILROAD MEDICARE
SC
Enumeration date
01/23/2013
Last updated
02/10/2023
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