Individual
STEPHEN E BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 METHODIST HOSPITAL BLVD, HATTIESBURG, MS 39402-1295
(601) 268-5185
(601) 268-5006
Mailing address
100 METHODIST HOSPITAL BLVD, HATTIESBURG, MS 39402-1295
(601) 268-5185
(601) 268-5006
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
12824
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00011825
—
MS
Enumeration date
05/31/2005
Last updated
08/15/2007
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