Individual provider · NPI-1

Mark Gary Buchanan, M.D.

Urology · Charleston, SC

NPI number1104825637
StatusActive
Last updated in NPPESFeb 17, 2017

Details

NPI
1104825637
Entity type
Individual (NPI-1)
Name
Mark Gary Buchanan
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Jul 18, 2005
Last updated
Feb 17, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology019842SCYes

Practice location

1470 Tobias Gadson Blvd
Suite 201
Charleston, SC 29407-4707

Phone 843-556-7060 · Fax 843-556-9960

Mailing address

2687 Lake Park Dr
N Charleston, SC 29406-9100

Phone 843-572-0097 · Fax 843-725-3118

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