Healthcare Provider Details

I. General information

NPI: 1023088036
Provider Name (Legal Business Name): ANN M BUFF MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 05/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 CLIFTON RD NE MAILSTOP E-10
ATLANTA GA
30329-4018
US

IV. Provider business mailing address

1600 CLIFTON RD NE MAILSTOP E-10
ATLANTA GA
30329-4018
US

V. Phone/Fax

Practice location:
  • Phone: 404-639-5313
  • Fax: 404-639-8959
Mailing address:
  • Phone: 404-639-5313
  • Fax: 404-639-8959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number0101057871
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number0101057871
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: