MEDICARE: DR. ANN M BUFF MD, MPH

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
1	2083P0901X	Public Health & General Preventive Medicine Physician	0101057871	VA
2	2083X0100X	Occupational Medicine Physician	0101057871	VA

General Provider Information

NPI Number	:	1023088036
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANN M BUFF MD, MPH

Provider Business Mailing Address
First Line	:	1600 CLIFTON RD NE
Second Line	:	MAILSTOP E-10
City	:	ATLANTA
State	:	GA
Zip	:	30329-4018
Country	:	US
Telephone Number	:	404-639-5313
Fax Number	:	404-639-8959

Provider Business Practice Location Address
First Line	:	1600 CLIFTON RD NE
Second Line	:	MAILSTOP E-10
City	:	ATLANTA
State	:	GA
Zip	:	30329-4018
Country	:	US
Telephone Number	:	404-639-5313
Fax Number	:	404-639-8959

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	05/22/2008

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