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)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