Provider Demographics
NPI:1497940902
Name:BURFORD CHIROPRACTIC
Entity Type:Organization
Organization Name:BURFORD CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:BRANDI
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ROBERTSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-853-1734
Mailing Address - Street 1:346 NEW BYHALIA RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017-3741
Mailing Address - Country:US
Mailing Address - Phone:901-853-1734
Mailing Address - Fax:901-854-1166
Practice Address - Street 1:346 NEW BYHALIA RD
Practice Address - Street 2:SUITE 3
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017-3741
Practice Address - Country:US
Practice Address - Phone:901-853-1734
Practice Address - Fax:901-854-1166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-07
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN461111NI0013X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NI0013XChiropractic ProvidersChiropractorIndependent Medical ExaminerGroup - Single Specialty