Burns, Jamie Tidmore

Burns, Jamie Tidmore is an individual health care provider with primary practice located at 840 W Floyd Baker Blvd , Gaffney SC 29341-1845. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Burns, Jamie Tidmore can be contacted via phone (864) 489-3300.

Contact Information

Primary practice address
840 W Floyd Baker Blvd Gaffney SC 29341-1845
Phone: (864) 489-3300
Fax: (864) 488-3744
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 37703 South Carolina

Profile Details

NPI number 1295114742
LBN Legal business name Burns, Jamie Tidmore
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2015
Last updated Mar 30th, 2023 - about 3 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 1295114742 NPPES
South Carolina Other SCD675J577 MEDICARE PIN
South Carolina MEDICAID 377032 MEDICARE PIN
South Carolina Other SCD6756067 MEDICARE PIN
South Carolina Other SCD6756121 MEDICARE PIN

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