MEDICARE: THOMES BUCHANAN

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	101Y00000X	Counselor	ALC04925	AL

General Provider Information

NPI Number	:	1699510206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMES BUCHANAN

Provider Business Mailing Address
First Line	:	320 SNOW ST STE C
Second Line	:
City	:	OXFORD
State	:	AL
Zip	:	36203-5402
Country	:	US
Telephone Number	:	256-343-4080
Fax Number	:

Provider Business Practice Location Address
First Line	:	320 SNOW ST STE C
Second Line	:
City	:	OXFORD
State	:	AL
Zip	:	36203-5402
Country	:	US
Telephone Number	:	256-343-4080
Fax Number	:

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

Provider Enumeration Date	:	06/26/2024
Last Update Date	:	06/26/2024

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Directions to “ THOMES BUCHANAN ” Practice Location

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