Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | ABMG 1065 | NC |
NPI | 1962495622 |
---|---|
Provider Name | Dr. Philip D Buchanan |
First Address | Chapel Hill, NC 27514-6510 |
Second Address | Chapel Hill, NC 27514-6510 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2005 |
Last Update Date | 08/07/2007 |