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NPI Code Detail

MEDICARE: DR. MARK W BURTON MD

MEDICARE: DR. MARK W BURTON MD
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
1207R00000XInternal Medicine Physician37800NC

General Provider Information

NPI Number : 1962461491
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK W BURTON MD
Provider Business Mailing Address
First Line : 2293 SUGAR HILL RD STE A
Second Line :
City : MARION
State : NC
Zip : 28752-7787
Country : US
Telephone Number : 828-580-1364
Fax Number : 828-655-2343
Provider Business Practice Location Address
First Line : 2293 SUGAR HILL RD STE A
Second Line :
City : MARION
State : NC
Zip : 28752-7787
Country : US
Telephone Number : 828-580-1364
Fax Number : 828-655-2343
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2006
Last Update Date : 01/14/2020

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