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NPI Code Detail

MEDICARE: CASSIE BUCHAN PA-C

MEDICARE: CASSIE BUCHAN PA-C
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 Assistant3110SC

General Provider Information

NPI Number : 1144792656
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASSIE BUCHAN PA-C
Provider Business Mailing Address
First Line : 4013 LITTLE BEAR CT
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29579-5184
Country : US
Telephone Number : 607-434-2055
Fax Number :
Provider Business Practice Location Address
First Line : 7410 HIGHWAY 707
Second Line :
City : MYRTLE BEACH
State : SC
Zip : 29588-7304
Country : US
Telephone Number : 843-215-1100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2018
Last Update Date : 11/03/2025

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Directions to “ CASSIE BUCHAN PA-C” Practice Location

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