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Individual

JAY J BURDETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
6305 CAROLINA COMMONS DR, SUITE 305, FORT MILL, SC 29707-5987
(803) 802-5055
(803) 802-5052
Mailing address
105 BEN CASEY DR, SUITE 127, FORT MILL, SC 29708-8561
(803) 802-5855
(803) 802-5869

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5454
SC

Other

Enumeration date
06/30/2006
Last updated
05/01/2025
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