Individual
ROBERT CHARLES BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
499 GLOSTER CREEK VLG STE D4, TUPELO, MS 38801-4711
(662) 377-6630
(662) 377-6635
Mailing address
450 E PRESIDENT AVE, TUPELO, MS 38801-5599
(662) 377-4685
(662) 377-2755
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
12823
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00110707
—
MS
Enumeration date
01/30/2006
Last updated
11/19/2020
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