Individual
DR. WILLIAM D BURNHAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10160 DORCHESTER RD, SUMMERVILLE, SC 29485-8527
(843) 871-7900
(843) 871-8731
Mailing address
4416 FOREST DR, 2ND FLOOR, COLUMBIA, SC 29206-3104
(803) 782-4278
(803) 782-3445
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12071
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120719
—
SC
Enumeration date
06/09/2006
Last updated
07/08/2007
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