Individual
MR. KENT BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6043 PRESTLEY MILL ROAD STE E, DOUGLASVILLE, GA 30134
(770) 489-2644
(770) 803-9768
Mailing address
6043 PRESTLEY MILL ROAD STE E, DOUGLASVILLE, GA 30134
(770) 489-2644
(770) 803-9768
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT002072
GA
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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