Healthcare Provider Details

I. General information

NPI: 1578544235
Provider Name (Legal Business Name): JOSEPH FRANKLIN BURTON JR. R.PH.,CFTS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2005
Last Update Date: 09/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 E LINDSAY ST
GREENSBORO NC
27401-3008
US

IV. Provider business mailing address

120 E LINDSAY ST
GREENSBORO NC
27401-3008
US

V. Phone/Fax

Practice location:
  • Phone: 336-272-7139
  • Fax: 336-272-4779
Mailing address:
  • Phone: 336-272-7139
  • Fax: 336-272-4779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5513
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License NumberCFTS1099
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: