Individual
JOHN W MCBURNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BON SECOURS NEUROLOGY, 801 ROPER CREEK DRIVE, GREENVILLE, SC 29615-6938
(864) 516-1170
(877) 249-9483
Mailing address
PO BOX 743294, ATLANTA, GA 30374-3294
(505) 272-3100
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
22053
SC
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
22053
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2038845
—
WA
05
—
500675047
—
OR
01
—
P00822413
RR MEDICARE
SC
05
—
T63222
—
SC
Enumeration date
04/06/2006
Last updated
08/09/2018
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