Individual
MARY ELIZABETH BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1139 LEXINGTON AVE, STE A, SAVANNAH, GA 31404-5502
(912) 303-4200
(912) 790-2701
Mailing address
1139 LEXINGTON AVE STE A, SAVANNAH, GA 31404-5502
(912) 303-4200
(912) 790-2701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN-NP072464
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000818133B
—
GA
01
—
50BBHNC
MEDICARE PTAN
GA
Enumeration date
11/14/2006
Last updated
10/09/2025
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