Individual
FRED BUCHANAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
550 MEMORIAL DRIVE EXT, GREER, SC 29651-1124
(864) 879-2359
(864) 879-2365
Mailing address
581 BARNETT RD, GREER, SC 29651-4868
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
199
SC
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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