Organization
FORT MILL NEUROLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID DWIGHT BUCKLAND DO (OWNER)
(803) 412-4720
Entity
Organization
Contact information
Practice address
1918 MASONS BEND DR, FORT MILL, SC 29708-7061
(907) 414-8413
Mailing address
1918 MASONS BEND DR, FORT MILL, SC 29708-7061
(907) 414-8413
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
02/08/2024
Last updated
05/02/2026
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