Provider Demographics
NPI:1346843679
Name:BURTON, GEORGE D II
Entity Type:Individual
Prefix:
First Name:GEORGE
Middle Name:D
Last Name:BURTON
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 GURLEY CIR
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310-2557
Mailing Address - Country:US
Mailing Address - Phone:234-788-3948
Mailing Address - Fax:
Practice Address - Street 1:1410 GURLEY CIR
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310-2557
Practice Address - Country:US
Practice Address - Phone:234-788-3948
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide