Individual
CAROLINE BLACK BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14 EDGEWOOD DR, GREENVILLE, SC 29605-4246
(864) 250-7944
(864) 250-9582
Mailing address
101 GREGOR MENDEL CIR, GREENWOOD, SC 29646-2316
(864) 388-1072
(864) 388-1052
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
32645
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
326454
—
SC
Enumeration date
05/25/2010
Last updated
02/18/2020
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