Individual
KIMBERLY LYNN BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15 PARK CREEK DR, GREENVILLE, SC 29605-4270
(864) 797-7450
(864) 797-7451
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35503
SC
Other
Enumeration date
07/02/2007
Last updated
02/25/2020
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