Provider Demographics
NPI:1033402706
Name:JOHN MARCEL BURNEY MD PLLC
Entity Type:Organization
Organization Name:JOHN MARCEL BURNEY MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:MARCEL
Authorized Official - Last Name:BURNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-599-4465
Mailing Address - Street 1:PO BOX 22329
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37202-2329
Mailing Address - Country:US
Mailing Address - Phone:615-327-2692
Mailing Address - Fax:615-327-1009
Practice Address - Street 1:4323 CAROTHERS PKWY
Practice Address - Street 2:SUITE 203
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-5914
Practice Address - Country:US
Practice Address - Phone:615-599-4465
Practice Address - Fax:615-599-7915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-27
Last Update Date:2011-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN47239207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty