Individual
DR. NORRIS KENT BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
907 18TH ST E, SUITE 140, TIFTON, GA 31794-3643
(229) 353-4325
Mailing address
907 18TH ST E STE 140, TIFTON, GA 31794-3643
(229) 353-4325
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
031888
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000398593E
—
GA
01
—
010031078
RAILROAD MEDICARE PIN
GA
01
—
52576054 002
BCBS OF GA PIN
GA
01
—
900158275
TRICARE PIN
GA
Enumeration date
09/13/2005
Last updated
11/30/2020
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