Individual
DAVIDA BUXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-5500
Mailing address
777 HEMLOCK ST, MACON, GA 31201-2102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4249
GA
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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