Individual
WILLIAM BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1203 JEFFERSON ST, LAUREL, MS 39440-4354
(601) 649-2863
Mailing address
PO BOX 3092, MADISON, MS 39130-3092
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
T-4413
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2021
Last updated
05/15/2025
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