Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 232687 | NY |
Y | 2080P0208X | Pediatric Infectious Diseases | 2011-00999 | NC |
NPI | 1568637072 |
---|---|
Provider Name | Dr. Ann Marie Buchanan |
First Address | Durham, NC 27713-4430 |
Second Address | Durham, NC 27705-3941 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2008 |
Last Update Date | 30/06/2011 |