Individual
ROGER W BUDDINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4485 TENCH RD, SUITE 840, SUWANEE, GA 30024-6741
(770) 493-9177
(770) 945-7214
Mailing address
4485 TENCH RD, SUITE 840, SUWANEE, GA 30024-6741
(770) 493-9177
(770) 945-7214
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY001926
GA
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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