Individual
OTIS BENJAMIN BURNETT IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
310 SOUTH MCKASKEY RD, WILLIAMSTON, NC 27892
(638) 458-6345
(252) 809-6363
Mailing address
401 E LIBERTY ST, WILLIAMSTON, NC 27892-1834
(678) 458-6345
(252) 809-6363
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2013-00643
NC
Other
Enumeration date
06/17/2008
Last updated
08/13/2013
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