Dr. Ernest Grover Buchanan IV, M.D.
Family Medicine in Cookeville, TN. Individual provider (NPI-1).
NPI number1720088974
StatusActive
Last updated in NPPESMay 15, 2024
Details
- NPI
- 1720088974
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ernest Grover Buchanan IV
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2005
- Certification date
- May 15, 2024
- Last updated
- May 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 30853 | TN | Yes |
Practice location
1101 Neal StCookeville, TN 38501-0901
Phone 931-528-7797 · Fax 931-372-0098
Mailing address
1275 Dick Lonas Rd Unit 101Knoxville, TN 37909-1383
Phone 865-584-4747 · Fax 833-908-0998
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