Individual
ANTHONY L. BUCKLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 NORTHGATE RD STE D, NATCHEZ, MS 39120-9162
(769) 355-2052
(304) 803-3716
Mailing address
105 NORTHGATE RD STE D, NATCHEZ, MS 39120-9162
(769) 355-2052
(304) 803-3716
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-106738
IL
207Q00000X
Family Medicine Physician
Primary
20937
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004230014
—
MS
Enumeration date
09/19/2005
Last updated
11/10/2022
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