Individual
SARAH BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAPA
Contact information
Practice address
1388B WELLBROOK CIR NE, CONYERS, GA 30012-3872
(770) 388-7745
(770) 922-0526
Mailing address
1388B WELLBROOK CIR NE, CONYERS, GA 30012-3872
(770) 388-7745
(770) 922-0526
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
003349
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100002235A
—
GA
Enumeration date
02/24/2006
Last updated
10/15/2009
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