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Individual

MR. ZACHARY TYLER BUCKNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
BSN-RN

Contact information

Practice address
1278 N LAFAYETTE DR, SUMTER, SC 29150-2964
(803) 774-4500
(803) 774-4626
Mailing address
1278 N LAFAYETTE DR, SUMTER, SC 29150-2964
(803) 774-4500
(803) 774-4626

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
232066
SC

Other

Enumeration date
09/18/2018
Last updated
10/01/2018
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