Individual
DR. JIM D BURFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12 MAPLE TREE CT, GREENVILLE, SC 29615-4078
(864) 315-1300
(864) 315-1301
Mailing address
12 MAPLE TREE CT, GREENVILLE, SC 29615-4078
(864) 315-1300
(864) 315-1301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8024
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080245
—
SC
01
—
E048468157
MEDICARE ID
SC
Enumeration date
07/11/2006
Last updated
06/17/2014
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