Burdett, Maureen
Burdett, Maureen is an individual health care provider with primary practice located at 199 S Herlong Ave , Rock Hill SC 29732. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is her primary health care specialty. Burdett, Maureen can be contacted via phone (803) 324-1800.Contact Information
Primary practice address
199 S Herlong Ave
Rock Hill SC 29732
Phone: (803) 324-1800
Fax: (803) 328-3831
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 29105 | South Carolina |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207RA0401X | 29105 | South Carolina |
Profile Details
| NPI number | 1912954595 |
|---|---|
| LBN Legal business name | Burdett, Maureen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2006 |
| Last updated | Jan 15th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912954595 | NPPES |
| South Carolina | Other | 202660098 | GAFFNEY HMA PHYSICIAN MANAGEMENT |
| South Carolina | Other | 20-2660098 | GAFFNEY HMA PHYSICIAN MANAGEMENT |
| South Carolina | MEDICAID | GP4558 | GAFFNEY HMA PHYSICIAN MANAGEMENT |
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