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Individual

BRIAN GEORGE BURNIKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 PATEWOOD DR, SUITE C100, GREENVILLE, SC 29615-3593
(864) 454-7422
(864) 454-8265
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
17976
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
576007863178
BLUE CHOICE OF SC
SC
01
P00377394
RR MEDICARE
SC
01
P00802345
RR MEDICARE
SC
05
T19254
SC
Enumeration date
08/31/2006
Last updated
08/01/2013
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