Provider Demographics
NPI:1013143171
Name:BURTON, MARGARET B (RN, BSN, MS)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:B
Last Name:BURTON
Suffix:
Gender:F
Credentials:RN, BSN, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3205 KINGS POND RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-6423
Mailing Address - Country:US
Mailing Address - Phone:336-855-6716
Mailing Address - Fax:336-691-1772
Practice Address - Street 1:2007 YANCEYVILLE ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-5000
Practice Address - Country:US
Practice Address - Phone:336-691-1772
Practice Address - Fax:336-691-1054
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-03
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30059101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health