MEDICARE: MRS. FRANCES M. BURTON RDN, LDN

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	133N00000X	Nutritionist	LDN 001182	NC
2	133V00000X	Registered Dietitian	LDN 001182	NC

General Provider Information

NPI Number	:	1568886083
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. FRANCES M. BURTON RDN, LDN

Provider Business Mailing Address
First Line	:	717 DORADO CIR
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-9502
Country	:	US
Telephone Number	:	336-277-1660
Fax Number	:	336-277-1661

Provider Business Practice Location Address
First Line	:	717 DORADO CIR
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-9502
Country	:	US
Telephone Number	:	336-277-1660
Fax Number	:	336-277-1661

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

Provider Enumeration Date	:	02/05/2014
Last Update Date	:	04/17/2015

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