Individual
DR. ERNEST GROVER BUCHANAN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1101 NEAL ST, COOKEVILLE, TN 38501-0901
(931) 528-7797
(931) 372-0098
Mailing address
1275 DICK LONAS RD UNIT 101, KNOXVILLE, TN 37909-1383
(865) 584-4747
(833) 908-0998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30853
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3831523
—
TN
Enumeration date
07/29/2005
Last updated
05/15/2024
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