Doctor Name: | DR. MARTHA ANNE BURTON |
NPI Number: | 1194776831 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 33351 |
Business Practice Address: | 9321 Russell Springs Rd Russell Springs, KY - 426427713 |
Business Phone Number: | 2703840233 |
Business Fax Number: | 2703840245 |
Mailing Address: | P.o. Box 429, RUSSELL SPRINGS |
State: | KY |
Postal Code: | 426427713 |
Phone Number: | 2703840233 |
Fax Number: | 2703840245 |
NPI Enumeration Date: | 05/15/2006 |
NPI Last Update Date: | 10/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0401X |
License Number: | 33351 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A family medicine physician who specializes in the diagnosis and treatment of addictions. |