DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. EDWARD CLARK BURNSIDE, PA-C

Active

MR. EDWARD CLARK BURNSIDE, PA-C is a Medical Physician Assistant healthcare provider located in MT PLEASANT, South Carolina. NPI 1639492952 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · MT PLEASANT, SC

Registration Details

NPI Number
1639492952
Provider Type
Individual
Gender
Male
NPI Issued
Mar 2, 2010 (16.41306798495 yrs)
Last Updated
Mar 2, 2010
License
TL 1511 (SC)

Practice Information

Address
1028 EWALL ST
MT PLEASANT, SC, 294643046
Browse SC providers · Browse ZIP 29464
Phone
8435730499
Fax
8433886292
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in MT PLEASANT, SC

Name Credential NPI
MR. MARK S PRINCIPE PA-C 1023017993
MRS. NICOLE PERRIN KETCHIN PAC 1093741613
LISA BARR SURRATT PA 1902097843
MRS. ANN LACOUTURE GRIFFIN PA-C 1710159033
WENDY S GRIFFITH PA-C 1427209782
MS. ELIZABETH LAUREN POWELL PA 1740433440
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.