Individual
BLAKE BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4825 S OLD PEACHTREE RD, STE 1100, PEACHTREE CORNERS, GA 30071-1504
(770) 449-5152
Mailing address
4825 S OLD PEACHTREE RD, STE 1100, PEACHTREE CORNERS, GA 30071-1504
(770) 449-5152
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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