Individual
MRS. KELLY RENEA BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
881 USS JAMES MADISON RD, NAVAL SUBMARINE BASE, KINGS BAY, GA 31547-2531
(912) 573-4264
Mailing address
1343 MIDDLE SCHOOL RD, KINGSLAND, GA 31548-6227
(601) 323-7973
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
GA
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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