Individual
DR. RANDY J. BUCKSPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9115 KATE CT, GAINESVILLE, GA 30506-3960
(512) 924-8126
Mailing address
9115 KATE CT, GAINESVILLE, GA 30506-3960
(512) 924-8126
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
90826
GA
Other
Enumeration date
09/06/2005
Last updated
01/11/2022
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