Individual
DR. JOHN ROBERT BUCHOLTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1800 10TH AVE, COLUMBUS, GA 31901-1513
(706) 571-1120
Mailing address
PO BOX 1038, COLUMBUS, GA 31902-1038
(706) 571-1120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
025116
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000381884F
—
GA
05
—
00381884C
—
GA
05
—
009934956
—
AL
Enumeration date
07/19/2006
Last updated
08/29/2012
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