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NPI Code Detail

MEDICARE: DR. IRIS BUCHANAN MD

MEDICARE: DR. IRIS BUCHANAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician026834GA
22080P0207XPediatric Hematology & Oncology Physician026834GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336149210
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IRIS BUCHANAN MD
Provider Business Mailing Address
First Line : 720 WESTVIEW DR SW
Second Line : HARRIS BUILDING, SUITE 100-A
City : ATLANTA
State : GA
Zip : 30310-1458
Country : US
Telephone Number : 404-756-1400
Fax Number : 404-756-5274
Provider Business Practice Location Address
First Line : 720 WESTVIEW DRIVE, SW
Second Line : HARRIS BUILDING, SUITE 100-A
City : ATLANTA
State : GA
Zip : 30310-1458
Country : US
Telephone Number : 404-756-1400
Fax Number : 404-756-5274
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2005
Last Update Date : 03/31/2017

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Directions to “ DR. IRIS BUCHANAN MD” Practice Location

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