Individual
KEITH ELWYN BUCHANAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 MEMORIAL LN, SAVANNAH, GA 31410-1220
(912) 897-3766
(912) 898-0809
Mailing address
1001 MEMORIAL LN, SAVANNAH, GA 31410-1220
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036111
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00594635D
—
GA
01
—
927216
BLUE CROSS BLUE SHIELD
GA
Enumeration date
06/14/2006
Last updated
07/08/2007
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