Individual
JENNIFER LYNNE BUCKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2485 HIGHWAY 88, HEPHZIBAH, GA 30815-4691
(706) 554-5700
Mailing address
215 HIGHTOWER DR, MARTINEZ, GA 30907-2581
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011081
GA
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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