Individual
MRS. GEORGIA JAMILLAH BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1536 OWEN PARK LN, FAYETTEVILLE, NC 28304-3454
(910) 307-1576
(910) 500-3117
Mailing address
PO BOX 2376, BRYSON CITY, NC 28713-2376
(910) 302-3801
(828) 538-4441
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-00442
NC
Other
Enumeration date
06/25/2006
Last updated
08/10/2023
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