MEDICARE: HUNTER SAMUEL BUCKLEY DC

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	111N00000X	Chiropractor	5188	NC

General Provider Information

NPI Number	:	1548873706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HUNTER SAMUEL BUCKLEY DC

Provider Business Mailing Address
First Line	:	8928 US 70 BUS HWY W STE 700
Second Line	:
City	:	CLAYTON
State	:	NC
Zip	:	27520-4847
Country	:	US
Telephone Number	:	919-553-5505
Fax Number	:	919-553-9909

Provider Business Practice Location Address
First Line	:	8928 US 70 BUS HWY W STE 700
Second Line	:
City	:	CLAYTON
State	:	NC
Zip	:	27520-4847
Country	:	US
Telephone Number	:	919-553-5505
Fax Number	:	919-553-9909

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

Provider Enumeration Date	:	08/27/2020
Last Update Date	:	08/27/2020

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Directions to “ HUNTER SAMUEL BUCKLEY DC” Practice Location

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