NPI 1497094106

N Kent Burton Medical Director

Organisation Specialist Tifton, GA

Practice location

Address: 2401 Ridge Ave N, Tifton, GA 31794-2846
Phone: (229) 392-8520
Fax: (229) 391-3578
Mailing address: 2401 Ridge Avenue North, Tifton, GA 31794

Authorised official

Name: Norris K Burton
Title: Owner/Physician
Phone: (229) 392-8520

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 031888 (GA)

Other Specialist providers in Georgia →

Registry record

NPI: 1497094106
Entity type: Organization
NPI issued: 1 Feb 2013
Record last updated: 1 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.