Provider Demographics
NPI:1811935091
Name:BURGHER-JONES, JANINE E (MD)
Entity type:Individual
Prefix:DR
First Name:JANINE
Middle Name:E
Last Name:BURGHER-JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1038
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31902-1038
Mailing Address - Country:US
Mailing Address - Phone:706-571-1823
Mailing Address - Fax:706-660-2685
Practice Address - Street 1:1800 10TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-1513
Practice Address - Country:US
Practice Address - Phone:706-571-1120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA030023207P00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
080019607OtherRAILROAD MEDICARE-PALMETT
GA000406931JMedicaid
GA00406931CMedicaid
GA080074622OtherRAILROAD MEDICARE
AL009604490Medicaid
GA000406931JMedicaid
080019607OtherRAILROAD MEDICARE-PALMETT
GA08BDGXDMedicare ID - Type Unspecified