Individual
SHANTWANIA AREONESIA BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
616 ALCORN DR, CORINTH, MS 38834-9393
(662) 286-0206
(662) 665-0068
Mailing address
616 ALCORN DR, CORINTH, MS 38834-9393
(662) 286-0206
(662) 665-0068
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
19033
MS
207V00000X
Obstetrics & Gynecology Physician
C00141026
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04958871
—
MS
05
—
800678362
—
CA
Enumeration date
07/27/2006
Last updated
01/08/2025
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