Individual provider · NPI-1

Charles Barton, CSA

Physician Assistant, Medical · Lithonia, GA

NPI number1649467473
StatusActive
Last updated in NPPESSep 25, 2007

Details

NPI
1649467473
Entity type
Individual (NPI-1)
Name
Charles Barton
Credential
CSA
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 25, 2007
Last updated
Sep 25, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical84589GAYes

Practice location

5868 Fairington Farms Ln
Lithonia, GA 30038-1544

Phone 770-985-4257 · Fax 770-985-4258

Mailing address

5868 Fairington Farms Ln
Lithonia, GA 30038-1544

Phone 770-985-4257 · Fax 770-985-4258

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physician Assistant, Medical providers in Lithonia, GA