Individual
ANDREA BAUCHAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2400 PRATT ST # 8047, DURHAM, NC 27705-3976
(404) 606-2023
Mailing address
136 WINDRUSH LN, DURHAM, NC 27703-9449
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
2021-02710
NC
2080P0207X
Pediatric Hematology & Oncology Physician
305400
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2014
Last updated
09/15/2021
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