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NPI Code Detail

MEDICARE: BRIAN LEE BUCHANAN PA

MEDICARE: BRIAN LEE BUCHANAN PA
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
1363A00000XPhysician Assistant103483NC

General Provider Information

NPI Number : 1538136742
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN LEE BUCHANAN PA
Provider Business Mailing Address
First Line : PO BOX 38008
Second Line :
City : GREENSBORO
State : NC
Zip : 27438-8008
Country : US
Telephone Number : 336-545-5000
Fax Number : 336-545-5020
Provider Business Practice Location Address
First Line : 3200 NORTHLINE AVENUE
Second Line : STE 200
City : GREENSBORO
State : NC
Zip : 27408-7602
Country : US
Telephone Number : 336-545-5000
Fax Number : 336-545-5020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2006
Last Update Date : 05/14/2010

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Directions to “ BRIAN LEE BUCHANAN PA” Practice Location

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