Individual
JOHN J BUCKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203
(803) 434-1691
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
868
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008681
—
SC
Enumeration date
03/06/2007
Last updated
05/16/2018
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