Individual
WILLIAM THOMAS BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605
(864) 455-7000
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0101237968
VA
207P00000X
Emergency Medicine Physician
21988
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010151392
—
VA
05
—
010151414
—
VA
05
—
3810002000
—
WV
Enumeration date
09/06/2006
Last updated
07/10/2018
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