Individual
JOHN CHRISTOPHER BUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
449 N WENDOVER RD, SUITE B, CHARLOTTE, NC 28211-1064
(704) 366-7723
Mailing address
449 N WENDOVER RD, SUITE B, CHARLOTTE, NC 28211-1064
(704) 366-7723
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P11493
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982872917
BCBS NC
—
01
—
229166
MEDCOST
NC
05
—
7212688
—
NC
Enumeration date
02/12/2008
Last updated
04/28/2010
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