Individual
TAMMY LYNN BUCHANAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 FREDONIA ST, MUSKOGEE, OK 74403-3330
(918) 913-4014
Mailing address
501 FREDONIA ST, MUSKOGEE, OK 74403-3330
(918) 913-4015
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
12/19/2024
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