Individual
JONATHAN AARON BUICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 381-6806
(704) 381-6841
Mailing address
PO BOX 422002, ATLANTA, GA 30342-9002
(770) 894-7002
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
78615
GA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
78615
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160753
—
AL
05
—
160757
—
AL
01
—
511-49842
BCBS
AL
01
—
511-49844
BCBS
AL
Enumeration date
05/02/2011
Last updated
11/04/2025
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