Individual
JOHN MICHAEL BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3575 BRASELTON HWY, DACULA, GA 30019-1155
(770) 848-5300
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
054557
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08CBBNC
MEDICARE PIN THE BRASELTON CLINIC
GA
01
—
08CBCHP
MEDICARE PIN QUICK CARE
GA
05
—
444911088L
—
GA
05
—
444911088N
—
GA
05
—
444911088P
—
GA
05
—
444911088Q
—
GA
05
—
444911088S
—
GA
01
—
511I080027
MEDICARE PIN ADVANTAGE SPORTS MEDICINE
GA
Enumeration date
02/17/2006
Last updated
02/15/2021
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