Basic Information
| Provider Information | |||||||||
| NPI: | 1710129895 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BURTON | ||||||||
| FirstName: | CAROLINE | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 744 MIDDLE CREEK RD | ||||||||
| Address2: | SUITE 108 | ||||||||
| City: | SEVIERVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 378625015 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8654469500 | ||||||||
| FaxNumber: | 8654469501 | ||||||||
| Practice Location | |||||||||
| Address1: | 744 MIDDLE CREEK RD | ||||||||
| Address2: | SUITE 108 | ||||||||
| City: | SEVIERVILLE | ||||||||
| State: | TN | ||||||||
| PostalCode: | 378625015 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8654469500 | ||||||||
| FaxNumber: | 8654469501 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/03/2009 | ||||||||
| LastUpdateDate: | 05/17/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 206132 | LA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208000000X | 206132 | LA | N | Allopathic & Osteopathic Physicians | Pediatrics | 207R00000X | 50797 | TN | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208000000X | 50797 | TN | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.