Burton, Stephen Daryl
Burton, Stephen Daryl is an individual health care provider with primary practice located at 125 King Ave , Athens GA 30606-6734. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Burton, Stephen Daryl can be contacted via phone (706) 549-1663.Contact Information
Primary practice address
125 King Ave
Athens GA 30606-6734
Phone: (706) 549-1663
Fax: (706) 546-8792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 6704 | Georgia |
Profile Details
| NPI number | 1033457304 |
|---|---|
| LBN Legal business name | Burton, Stephen Daryl |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2013 |
| Last updated | Jul 1st, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033457304 | NPPES |
| Other | 12546405 | CAQH NUMBER |
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