Individual
TAMIKA R BUCKHALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8940 HWY 45 ALT SOUTH, CRAWFORD, MS 39743
(815) 614-8879
Mailing address
118 COPPERFIELD CT, STARKVILLE, MS 39759-9691
(815) 614-8879
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
802330237
MS
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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