Individual
NANCY L. BURLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
834 W MEETING ST STE E, LANCASTER, SC 29720-6220
(803) 285-5900
Mailing address
1110 N SARAH DEWITT DR, GONZALES, TX 78629-3311
(830) 672-8502
(830) 672-8481
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2014-01981
NC
207V00000X
Obstetrics & Gynecology Physician
Primary
81745
SC
207V00000X
Obstetrics & Gynecology Physician
9271
NH
207V00000X
Obstetrics & Gynecology Physician
H1875
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Y008944NH01
ANTHEM BCBS
NH
05
—
30007675
—
NH
01
—
3845503
AETNA
NH
01
—
4350571
CIGNA
NH
01
—
AA66543
HPHC
NH
01
—
H1875
TEXAS STATE LI
TX
Enumeration date
12/28/2006
Last updated
03/17/2020
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