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Individual

DAVID NELSON BUCKLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
104 PROFESSIONAL DR, BISCOE, NC 27209-9835
(910) 428-1544
(910) 428-1567
Mailing address
PO BOX 843145, BOSTON, MA 02284-3145
(910) 428-1544
(910) 428-1567

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
101879
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
170GF
BCBSNC
NC
05
8102541
NC
Enumeration date
06/10/2005
Last updated
06/19/2013
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