Burgess, Andrew Jay

Burgess, Andrew Jay is an individual health care provider with primary practice located at 1809 Wade Hampton Blvd Suite 120, Greenville SC 29609-4041. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Burgess, Andrew Jay can be contacted via phone (864) 522-5000.

Contact Information

Primary practice address
1809 Wade Hampton Blvd Suite 120 Greenville SC 29609-4041
Phone: (864) 522-5000
Fax: (864) 241-9275
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 34858 South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 34858 South Carolina

Profile Details

NPI number 1427310853
LBN Legal business name Burgess, Andrew Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2012
Last updated May 23rd, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427310853 NPPES
South Carolina MEDICAID 348582

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