Charles Barton, CSA
Individual provider Active NPI Medical Physician Assistant · Lithonia, GA
NPI 1649467473 · NPPES record last updated Sep 25, 2007
Key facts
- NPI
- 1649467473
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 84589 (GA)
- Practice address
- 5868 Fairington Farms LN
Lithonia, GA 30038-1544 - Phone
- (770) 985-4257
- Fax
- (770) 985-4258
- NPI assigned
- Sep 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 84589 | GA | Yes |
Addresses
Primary practice location
5868 Fairington Farms LN
Lithonia, GA 30038-1544
Mailing address
5868 Fairington Farms LN
Lithonia, GA 30038-1544
Phone (770) 985-4257
Other providers in Lithonia, GA
- Sylver J Banks
- Willie H Bannister
- Jazmyne Barber
- Deandre Roy Barrett
- Lina Barry
- Javan S. Bass
- Suelan Battiste
- Yetunde Battle
- Beautiful Smiles Family Dentistry, DDS, PC
- Beauty for Ashes Case Management, LLC
All providers in Lithonia, GA · Medical Physician Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.