| Doctor Name: | DR. BARY J BURNS |
| NPI Number: | 1205129517 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | BSPHARM-PSYCH,PHARMD |
| License Number: | |
| Business Practice Address: | 141 County Road 379 Centre, AL - 359606916 |
| Business Phone Number: | 2565579180 |
| Business Fax Number: | |
| Mailing Address: | 141 County Road 379, CENTRE |
| State: | AL |
| Postal Code: | 359606916 |
| Phone Number: | 2565579180 |
| Fax Number: | |
| NPI Enumeration Date: | 05/18/2011 |
| NPI Last Update Date: | 05/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |