NPI: 1710265905
Provider Name: JACKSON HOSPITAL AND CLINIC, INC.
Doing Business As: BASIL O. BURNEY, M.D.
Classification: Internal Medicine - 207RE0101X
Entity Type: Organization
Specialization: Endocrinology, Diabetes & Metabolism
CLIA Number: 01D2246012
Address:
1801 PINE ST
SUITE 203
MONTGOMERY, AL
ZIP 36106
Phone: (334) 293-8877
Get Directions
JACKSON HOSPITAL AND CLINIC, INC. is an endocrinology and diabetes and metabolism internal medicine in Montgomery, AL. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. JACKSON HOSPITAL AND CLINIC, INC. NPI is 1710265905. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Basil O. Burney, M.d..
The provider's business location address is:
1801 PINE ST
SUITE 203
MONTGOMERY, AL
ZIP 36106-165
Phone: (334) 293-8877
Fax: (334) 293-6803
The provider's authorized official is Peter Verrecchia .
The authorized official title is Cfo and has the following contact phone number (334) 293-8000.
The CLIA number assigned to this NPI record is 01D2246012 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/22/2011 and was last updated on 6/25/2019.