Individual
EMILY ELIZABETH BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
115 N COUNTRY CLUB RD, BREVARD, NC 28712-8990
(828) 884-2031
Mailing address
529 HERITAGE DR, RINGGOLD, GA 30736-7469
(423) 716-3888
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0000079913
TN
Other
Enumeration date
09/22/2017
Last updated
09/22/2017
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