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NPI Code Detail

MEDICARE: MATTHEW M BUCHANAN M.D.

MEDICARE: MATTHEW M BUCHANAN M.D.
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
1207XX0004XOrthopaedic Foot and Ankle Surgery Physician0101236252VA
2207XX0004XOrthopaedic Foot and Ankle Surgery Physician53860TN

General Provider Information

NPI Number : 1326044298
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW M BUCHANAN M.D.
Provider Business Mailing Address
First Line : 2415 MCCALLIE AVE
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37404-3322
Country : US
Telephone Number : 423-624-2696
Fax Number : 423-622-6249
Provider Business Practice Location Address
First Line : 2415 MCCALLIE AVE
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37404-3322
Country : US
Telephone Number : 423-624-2696
Fax Number : 423-622-6249
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2005
Last Update Date : 07/08/2016

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Directions to “ MATTHEW M BUCHANAN M.D.” Practice Location

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