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Individual

DR. CHARLES DAVID BURTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
245 S 6TH ST, GADSDEN, AL 35901-4102
(256) 546-8074
(256) 546-0376
Mailing address
PO BOX 8227, GADSDEN, AL 35902-8227
(256) 546-8074
(256) 546-0376

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-489-TA-125
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000059687
AL
01
180007138
RAILROAD MEDICARE
AL
01
51059687
ALABAMA BLUE CROSS & BLUE
AL
Enumeration date
09/14/2006
Last updated
06/19/2008
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