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Individual

MR. GREGORY FRANKLIN BUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
96 JONATHAN LUCAS ST 210 CSB, CHARLESTON, SC 29425
(843) 792-5622
(843) 792-1707
Mailing address
1051 LOYALIST LN, MOUNT PLEASANT, SC 29464-9235
(843) 881-2039

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
501
SC

Other

Enumeration date
04/23/2007
Last updated
10/08/2020
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