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Individual

JONATHAN BUCHANAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-BC

Contact information

Practice address
1301 48TH AVE N STE B, MYRTLE BEACH, SC 29577-5427
(843) 497-1441
Mailing address
102 SPANISH OAK DR, MYRTLE BEACH, SC 29575-4728
(843) 344-3448

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29858
SC
363LX0106X
Occupational Health Nurse Practitioner
29858
SC

Other

Enumeration date
04/15/2025
Last updated
09/30/2025
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