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Individual

DR. TONDRE BUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-7050
(864) 560-0800
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
T-1784
MS
207RH0000X
Hematology (Internal Medicine) Physician
39391
SC
207RH0003X
Hematology & Oncology Physician
19846
MS
207RH0003X
Hematology & Oncology Physician
Primary
39391
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07431002
MS
05
2359665
LA
05
393915
SC
01
SC86473365
MEDICARE PIN
SC
Enumeration date
05/24/2007
Last updated
06/21/2021
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