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Contact Information

BLAINE A BURRIS, ATC
7344 SUNCATCHER DR
HANAHAN, SC29410
 Phone: 580-606-3484
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for BLAINE A BURRIS · (Male)

NPI Number 1316292816
Status Active
Credentials ATC
Entity Individual
Enumeration date 07/20/2012
Last updated 07/20/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 1148
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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