MEDICARE: DR. JANINE E BURGHER-JONES M.D.

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	030023	GA
2	207Q00000X	Family Medicine Physician	030023	GA

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080019607	OTHER		RAILROAD MEDICARE-PALMETT
4	080074622	OTHER	GA	RAILROAD MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1811935091
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANINE E BURGHER-JONES M.D.

Provider Business Mailing Address
First Line	:	PO BOX 1038
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31902-1038
Country	:	US
Telephone Number	:	706-571-1823
Fax Number	:	706-660-2685

Provider Business Practice Location Address
First Line	:	1800 10TH AVE
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31901-1513
Country	:	US
Telephone Number	:	706-571-1120
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	05/21/2012

1800 10TH AVE , SUITE 100
COLUMBUS, GA
31901-1513

Practice Phone: 706-571-1120
Practice Fax: 706-571-1603