Organization
BURNLEY SPINE & SPORT CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN CARY BURNLEY DC (PRESIDENT)
(256) 366-1976
Entity
Organization
Contact information
Practice address
501 E. DOCTOR HICKS BLVD, SUITE A, FLORENCE, AL 35630
(256) 469-2035
(256) 469-2031
Mailing address
501 E DR HICKS BLVD, FLORENCE, AL 35630-5738
(256) 469-2035
(256) 469-2031
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11551235
CAQH
—
01
—
31206
BCBS
AL
Enumeration date
09/06/2022
Last updated
02/03/2023
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