Individual
DR. RICHARD A BURNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
133 SPARKLEBERRY LN, CAMDEN, SC 29020-9197
(803) 669-2709
(803) 713-1310
Mailing address
133 SPARKLEBERRY LANE, CAMDEN, SC 29020-9197
(803) 669-2709
(803) 713-1310
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
547
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480031163
MEDICARE RAILROAD PIN
SC
05
—
PD5473
—
SC
Enumeration date
09/13/2006
Last updated
05/04/2011
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