Provider Demographics
NPI:1609568245
Name:HONEYCUTT, JOHNATHAN CAMERON (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHNATHAN
Middle Name:CAMERON
Last Name:HONEYCUTT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 HIGHWAY 78 W
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:AL
Mailing Address - Zip Code:35501-3751
Mailing Address - Country:US
Mailing Address - Phone:205-221-1719
Mailing Address - Fax:205-221-1729
Practice Address - Street 1:811 HIGHWAY 78 W
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:AL
Practice Address - Zip Code:35501-3751
Practice Address - Country:US
Practice Address - Phone:205-221-1719
Practice Address - Fax:205-221-1729
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2807111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor