Provider Demographics
NPI:1740644277
Name:MCBURNETT, JANIE
Entity type:Individual
Prefix:MRS
First Name:JANIE
Middle Name:
Last Name:MCBURNETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:AL
Mailing Address - Zip Code:35096-5228
Mailing Address - Country:US
Mailing Address - Phone:256-201-7617
Mailing Address - Fax:
Practice Address - Street 1:1612 HAMRIC DR E STE 100
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:AL
Practice Address - Zip Code:36203-8057
Practice Address - Country:US
Practice Address - Phone:256-835-4756
Practice Address - Fax:256-831-5736
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-11
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-135202207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine