Individual
SCOTT BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5001 HARDY ST, HATTIESBURG, MS 39402-1308
(601) 296-2090
(601) 296-2089
Mailing address
5001 HARDY ST, HATTIESBURG, MS 39402-1308
(601) 296-2090
(601) 296-2089
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29316
MS
207R00000X
Internal Medicine Physician
MD.35664
AL
208M00000X
Hospitalist Physician
U0972
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29316
MEDICAL LICENSE
MS
Enumeration date
03/30/2015
Last updated
07/09/2024
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