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Individual
DR. CARL LOUIS BUCKNER
Active
Individual
DR. CARL LOUIS BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2009-01192
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1531C
BLUE CROSS BLUE SHIELD NC
NC
05
—
5912236
—
NC
01
—
P00750150
RAILROAD MEDICARE
—
Enumeration date
11/03/2006
Last updated
11/10/2009
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