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Dr. Philip D Burton

Family Medicine in Wake Forest, NC. Individual provider (NPI-1).

NPI number1093742017
StatusActive
Last updated in NPPESFeb 25, 2008

Details

NPI
1093742017
Entity type
Individual (NPI-1)
Name
Dr. Philip D Burton
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 26, 2006
Last updated
Feb 25, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine29232NCYes

Practice location

123 Capcom Ave
Suite One
Wake Forest, NC 27587-6517

Phone 919-554-0177

Mailing address

123 Capcom Ave
Suite One
Wake Forest, NC 27587-6517

Phone 919-554-0177

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