Individual
JASON BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1409 DEVINE ST, COLUMBIA, SC 29208-3902
(803) 777-3667
Mailing address
1409 DEVINE ST, COLUMBIA, SC 29208-3902
(803) 777-3667
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
718990
NY
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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