Individual
MARK C BUCY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
520 S VAN BUREN RD, SUITE 2, EDEN, NC 27288-5201
(336) 627-5437
(336) 627-1681
Mailing address
520 S VAN BUREN RD, SUITE 2, EDEN, NC 27288-5201
(336) 627-5437
(336) 627-1681
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200100650
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6733611
—
VA
05
—
89130NU
—
NC
Enumeration date
07/12/2006
Last updated
01/28/2011
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