NPI 1457422396 · live from the CMS NPI Registry
Gregory Burnette, DO
Emergency Medicine in South Charleston, WV. National Provider Identifier 1457422396, active.
NPI record
| NPI | 1457422396 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Emergency Medicine 207P00000X |
| Practice location | 4605 Maccorkle Ave Sw, South Charleston, WV 25309 |
| Practice phone | 330-493-4443 |
| Mailing address | 4535 Dressler Rd Nw, Canton, OH 44718 |
| Enumerated | November 13, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine primary | 207P00000X | 908 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.