| Philip D. Burton M.d. Pllc | |
|
123 Cap Com Avenue Suite One Wake Forest NC 27587-6517 | |
| (919) 554-0177 | |
| (919) 554-9277 |
| Full Name | Philip D. Burton M.d. Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 123 Cap Com Avenue, Wake Forest, North Carolina |
| Authorized Official Name and Position | Philip Douglas Burton (SINGLE MEMBER) |
| Authorized Official Contact | 9195540177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Philip D. Burton M.d. Pllc 123 Capcom Ave Suite One Wake Forest NC 27587-6517 Ph: (919) 554-0177 | Philip D. Burton M.d. Pllc 123 Cap Com Avenue Suite One Wake Forest NC 27587-6517 Ph: (919) 554-0177 |
| NPI Number | 1922290881 |
|---|---|
| Provider Enumeration Date | 08/15/2007 |
| Last Update Date | 02/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922290881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 29232 (* (Not Available)) | Primary |
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