Individual
MARK PRESTON BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
708 W FOREST AVE, JACKSON, TN 38301-3901
(731) 660-8759
Mailing address
708 W FOREST AVE, DEPT. OF PATHOLOGY, JACKSON, TN 38301-3901
(731) 541-8582
(731) 541-4107
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
38630
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3898473
—
TN
Enumeration date
03/02/2006
Last updated
07/17/2009
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