Healthcare Provider Details
I. General information
NPI: 1447269311
Provider Name (Legal Business Name): JAMES RAYMOND BUEHLER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/07/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
16825 ROSMAN HWY
LAKE TOXAWAY NC
28747-9593
US
IV. Provider business mailing address
18 LAUREL DR # 1388
SAPPHIRE NC
28774-9610
US
V. Phone/Fax
- Phone: 828-862-6900
- Fax:
- Phone: 828-743-6474
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207QG0300X |
| Taxonomy | Geriatric Medicine (Family Medicine) Physician |
| License Number | 200201562 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: