Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | CPO02278 | DE |
N | 222Z00000X | Podiatrist | CPO02278 | DE |
Y | 224P00000X | Prosthetist | CPO02278 | DE |
NPI | 1124411178 |
---|---|
Provider Name | Mr. Scott F Burton |
First Address | Greenville, NC 27834-7268 |
Second Address | Greenville, NC 27834-7268 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2015 |
Last Update Date | 24/03/2015 |