Male or Other

Timothy J. Burrell MD

Family Medicine Physician in Spartanburg, SC(View on Map)

Full Name

Timothy J Burrell MD

NPI Number

1457672289

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/16/2010

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

South Carolina
South Carolina

License Number

32853
LL32853

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 743070
2191 SOUTHPORT RD

City

Atlanta
Spartanburg

State

GA
SC

Postal Code

30374-3070
29306-6257

Country

US
US

Telephone Number

(864) 560-4304
(864) 215-4840

Identifiers

Identifier

328531
SC03156121
SC03156084
SC0315J577
SC0315
SC03156067

Identifier State

SC
SC
SC
SC
SC
SC

Identifier Issuer

Unknown
MEDICARE PIN
MEDICARE PIN
MEDICARE PIN
MEDICARE #
MEDICARE PIN

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

tburrell179686@direct-srhs.et0939.epichosted.com

Endpoint Description

Unknown

Use

Direct

Content Type

Other

Other Description:
tburrell179686@direct-srhs.et0939.epichosted.com

Affiliation

N

Endpoint Location

2191 Southport RdSpartanburg, SC293066257US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/08/2020

Provider Address

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