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Contact Information

MARVIN G BURDETTE JR, MD
665 WEST ALEXANDER ROAD
GREENWOOD, SC29646
 Phone: 864-227-2020
 Fax: 864-227-2823
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for MARVIN G BURDETTE JR · (Male)

NPI Number 1730186099
Status Active
Credentials MD
Entity Individual
Enumeration date 07/01/2005
Last updated 01/24/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 9229
  • SC Medicaid 092296
  • SC Medicaid PA0515
  • SC Other 180012150 RAILROAD MEDICARE
  • SC Other CE6166 RAILROAD MEDICARE GROUP
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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