Individual
DR. BRUCE ELLIS BURNER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
618 N MAIN ST, MARION, SC 29571-3034
(843) 433-8010
(843) 433-8692
Mailing address
PO BOX 1440, MARION, SC 29571-1440
(843) 433-8010
(843) 433-8692
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
12643
SC
207Q00000X
Family Medicine Physician
Primary
12643
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126438
—
SC
Enumeration date
12/02/2005
Last updated
04/24/2023
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