Individual
MISS THERESA FAYE BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
104 GEORGE BISHOP PKWY, MYRTLE BEACH, SC 29579-7335
(855) 694-8288
Mailing address
628 E FLINTLAKE CT APT B, MYRTLE BEACH, SC 29579-7569
(612) 702-7537
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
56772
SC
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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