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Individual

EDWARD M BURTON

Active
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Individual

EDWARD M BURTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
09816
TN
2085R0202X
Diagnostic Radiology Physician
Primary
ME107754
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000117697
GA
05
002952200
FL
05
009929010
AL
01
300118992
RR MCARE-CI
TN
01
3152000
ADR BC/BS OF TN
TN
01
3152009
PLAZA BC/BS OF TN
TN
05
3851311
TN
01
430059070
RR MCARE-ADR
TN
Enumeration date
07/05/2006
Last updated
10/29/2012
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