Provider Demographics
NPI:1962461491
Name:BURTON, MARK W (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:W
Last Name:BURTON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2293 SUGAR HILL RD STE A
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-7787
Mailing Address - Country:US
Mailing Address - Phone:828-580-1364
Mailing Address - Fax:828-655-2343
Practice Address - Street 1:2293 SUGAR HILL RD STE A
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-7787
Practice Address - Country:US
Practice Address - Phone:828-580-1364
Practice Address - Fax:828-655-2343
Is Sole Proprietor?:No
Enumeration Date:2006-03-22
Last Update Date:2020-01-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC37800207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC110154189OtherRAILROAD MEDICARE
NC8920197Medicaid
NCNC9605AMedicare PIN