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Organization

BUCHANAN & TIPTON LLC

Active
Other names
Premier Collaborations CDC
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LESLIE DAVIS BUCHANAN (EXECUTIVE DIRECTOR)
(256) 797-8987
Entity
Organization

Contact information

Practice address
100 JETPLEX BLVD SW, HUNTSVILLE, AL 35824-2216
(256) 464-8405
(256) 464-8408
Mailing address
100 JETPLEX BLVD SW, HUNTSVILLE, AL 35824-2216
(256) 464-8405
(256) 464-8408

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-06-2786
AL

Other

Enumeration date
10/19/2010
Last updated
10/19/2010
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