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Individual

DR. ELMERTHA D. BURTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
129 E STARLING ST, GREENVILLE, MS 38701-4725
(662) 378-3600
(662) 335-3712
Mailing address
129 E STARLING ST, GREENVILLE, MS 38701-4725
(662) 378-3600
(662) 335-3712

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11258
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09030707
MS
Enumeration date
10/24/2006
Last updated
07/08/2007
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