Individual
DANIEL ARBUCKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2304 PIERCE WAY, BUFORD, GA 30519-2293
(770) 568-8030
Mailing address
2304 PIERCE WAY, BUFORD, GA 30519-2293
(770) 568-8030
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
2019200487
GA
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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