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Blaine David Buchanan, PA
Surgical Physician Assistant in Spartanburg, South Carolina
NPI 1598132961

Blaine David Buchanan is a Surgical Physician Assistant based in Atlanta, SC and is specialized in Surgical. Blaine David Buchanan practices in Spartanburg, SC and has the professional credentials of PA. The NPI Number for Blaine David Buchanan is 1598132961 and holds a License No. TL3234 (South Carolina).

The current practice location address for Blaine David Buchanan is 225 E Wood St, Spartanburg, SC and can be reached out via phone at 864-560-4420 and via fax at 864-560-5296.

Location: 225 E Wood St, Spartanburg, SC, 30374-3070
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Provider Profile Details
NPI Number
1598132961
Provider Name
Blaine David Buchanan
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
225 E Wood St, Spartanburg, SC, 30374-3070
Phone Number
864-560-4420
Fax Number
864-560-5296
Provider Enumeration Date
09/01/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SCF5735019 01 SC MEDICARE PIN
3204PA 05 SC
institution
Provider Business Practice Location Address Details
Address
225 E Wood St
City
State
Zip
29303-3050
Phone Number
864-560-4420
Fax Number
864-560-5296
person
Provider Business Mailing Address Details
Address
225 E Wood St
City
State
Zip
29303-3050
Phone Number
864-560-4420
Fax Number
864-560-5296
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
TL3234 (South Carolina)
Definition
Definition to come...
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