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Colin Thomas Buckley

Surgery in Fairhope, AL. Individual provider (NPI-1).

NPI number1669978359
StatusActive
Last updated in NPPESJun 14, 2024

Details

NPI
1669978359
Entity type
Individual (NPI-1)
Name
Colin Thomas Buckley
Sex
Male
Sole proprietor
No
Enumeration date
Apr 2, 2018
Certification date
Jun 14, 2024
Last updated
Jun 14, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X SurgeryMD.39153ALYes

Practice location

188 Hospital Dr Ste 205
Fairhope, AL 36532-2038

Phone 251-990-9191 · Fax 251-990-9189

Mailing address

3 Mobile Infirmary Cir Ste 305
Mobile, AL 36607-3515

Phone 251-990-9191 · Fax 251-990-9189

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