Individual
CHARLES H BURTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1587 PHOENIX BLVD, SUITE 6, COLLEGE PARK, GA 30349-5540
(770) 994-6806
(770) 994-6807
Mailing address
1587 PHOENIX BLVD, SUITE 6, COLLEGE PARK, GA 30349-5540
(770) 994-6806
(770) 994-6807
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
023025
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00385206C
—
GA
Enumeration date
02/20/2007
Last updated
02/06/2008
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