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Individual

JOHN MICHAEL BUCHANAN

Active
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Individual

JOHN MICHAEL BUCHANAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

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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