Healthcare Provider Details

I. General information

NPI: 1376703298
Provider Name (Legal Business Name): GEORGE STANDLEY BUCKNER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2008
Last Update Date: 06/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 COOL SPRINGS BLVD SUITE 800
FRANKLIN TN
37067-7289
US

IV. Provider business mailing address

730 COOL SPRINGS BLVD SUITE 800
FRANKLIN TN
37067-7289
US

V. Phone/Fax

Practice location:
  • Phone: 615-468-4000
  • Fax: 615-468-4406
Mailing address:
  • Phone: 615-468-4000
  • Fax: 615-468-4406

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number40903
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: