Organization
F&E PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JASON BUCKLAND D.O. (OWNER)
(803) 447-5927
Entity
Organization
Contact information
Practice address
125 ALPINE CIR, COLUMBIA, SC 29223-6385
(803) 256-4624
Mailing address
79 WALDEN OAKS CT, ELGIN, SC 29045-8246
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DO868
SC
Other
Enumeration date
02/26/2010
Last updated
02/26/2010
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