Organization
ERNEST G. BUCHANAN, IV, M.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST GROVER BUCHANAN IV M.D. (OWNER)
(931) 528-7797
Entity
Organization
Contact information
Practice address
1101 NEAL ST, COOKEVILLE, TN 38501-0901
(931) 528-7797
(931) 372-0098
Mailing address
1101 NEAL ST, COOKEVILLE, TN 38501-0901
(931) 528-7797
(931) 372-0098
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30853
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3723418
—
TN
Enumeration date
10/09/2007
Last updated
07/01/2009
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