MEDICARE: MRS. MARGARET B. BURTON RN, BSN, MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	30059	NC

General Provider Information

NPI Number	:	1013143171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARGARET B. BURTON RN, BSN, MS

Provider Business Mailing Address
First Line	:	3205 KINGS POND RD
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27407-6423
Country	:	US
Telephone Number	:	336-855-6716
Fax Number	:	336-691-1772

Provider Business Practice Location Address
First Line	:	2007 YANCEYVILLE ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27405-5000
Country	:	US
Telephone Number	:	336-691-1772
Fax Number	:	336-691-1054

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2009
Last Update Date	:	06/03/2009

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