Individual
CONNIE D BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
04343
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000016011
BLUE CROSS
AL
05
—
000016011
—
AL
01
—
051502088
BC FEDERAL EHBP
AL
01
—
260017800
RAILROAD MEDICARE
AL
01
—
330500058
MEDICAID REHAB
AL
01
—
51599338
BLUE CROSS
AL
01
—
51599339
BLUE CROSS
AL
01
—
51599340
BLUE CROSS
AL
01
—
51599726
BLUE CROSS
AL
01
—
C79003
VIVA
AL
Enumeration date
06/08/2006
Last updated
09/08/2011
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