Provider Demographics
NPI:1710129895
Name:BURTON, CAROLINE M (MD)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:M
Last Name:BURTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:744 MIDDLE CREEK RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37862-5015
Mailing Address - Country:US
Mailing Address - Phone:865-446-9500
Mailing Address - Fax:865-446-9501
Practice Address - Street 1:744 MIDDLE CREEK RD
Practice Address - Street 2:SUITE 108
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37862-5015
Practice Address - Country:US
Practice Address - Phone:865-446-9500
Practice Address - Fax:865-446-9501
Is Sole Proprietor?:No
Enumeration Date:2009-04-03
Last Update Date:2014-05-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA206132207R00000X, 208000000X
TN50797207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine