Individual
KANARASHINQUE BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
135 HOWELL RD STE C, TYRONE, GA 30290-2096
(404) 643-1913
Mailing address
415 BURDETT RIDGE CT, ATLANTA, GA 30349-3785
(404) 643-1913
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
290436
GA
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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