DR. SALLY ELAINE BURGESS M.D. NPI 1194879452

NPI Information

DR. Sally Elaine Burgess, M.D. is a specialist in Clinton, SC. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Sally Elaine Burgess, M.D. NPI is 1194879452. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

996 MEDICAL RIDGE RD
CLINTON, SC
ZIP 29325-541
Phone: (864) 833-5654
Fax: (864) 833-2786

The enumeration date for this NPI number is 1/23/2007 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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