Individual
DR. CHARLES VANCE BUCKMASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8158 STATE HIGHWAY 59, SUITE 107, FOLEY, AL 36535-3880
(251) 955-1600
(251) 955-1602
Mailing address
8158 STATE HWY 59, SUITE 107, FOLEY, AL 36535
(251) 955-1600
(251) 943-7749
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
00020768
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00032604
—
AL
05
—
170120
—
AL
Enumeration date
09/22/2005
Last updated
04/08/2024
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