Burton, Charles H

Burton, Charles H is an individual health care provider with primary practice located at 1587 Phoenix Blvd Suite 6, College Park GA 30349-5540. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Burton, Charles H can be contacted via phone (770) 994-6806.

Contact Information

Primary practice address
1587 Phoenix Blvd Suite 6 College Park GA 30349-5540
Phone: (770) 994-6806
Fax: (770) 994-6807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 023025 Georgia

Profile Details

NPI number 1952446817
LBN Legal business name Burton, Charles H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2007
Last updated Feb 6th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952446817 NPPES
Georgia MEDICAID 00385206C

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