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Pattie B Burriss
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NPI Number Detailed Information
Provider Information:
| Name: | Pattie B Burriss |
| Gender: | F |
| Provider License Number If Given: | F1887 |
NPI Information:
| NPI: | 1144229741 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 7/18/2005 |
| Last Update Date: | 4/6/2011 |
Provider Business Mailing Address:
| Address: | 885 TIGER BLVD Clemson, SC 29631 |
| Phone Number: | 8646546800 |
| Fax Number: |
Provider Business Practice Location Address:
| Address: | 885 TIGER BLVD Clemson, SC 29631 |
| Phone Number: | 8646546800 |
| Fax Number: |
Provider Taxonomy:
| Primary: | 363L00000X |
| Secondary (if any): | |
| State: | SC |
