Individual
DR. PAUL J BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2460 INDIA HOOK RD, SUITE 206, ROCK HILL, SC 29732-3530
(803) 985-2020
(803) 985-2021
Mailing address
2460 INDIA HOOK RD, STE 206, ROCK HILL, SC 29732-3578
(803) 985-2020
(803) 985-2021
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1278
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D12871
—
SC
Enumeration date
01/30/2007
Last updated
01/02/2018
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