Mary Mcgowan Buckley
Pediatric Rheumatologist
2301 Erwin Road
Durham
, North Carolina 27710
Mary Mcgowan Buckley
Pediatric Rheumatologist
2301 Erwin Road
Durham
, North Carolina 27710
(919) 620-4855
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About
Features
Specialties
- Pediatric Rheumatologist
Languages spoken
- English
Location
First Address
- Mary Mcgowan Buckley
- 5213 S Alston Ave
- Durham, NC
- Zip : 27713-4430
- Phone : (919) 620-4855
Second Address
- Mary Mcgowan Buckley
- 2301 Erwin Road
- Durham, NC
- Zip : 27710
- Phone : (919) 684-8111
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0216X | Pediatric Rheumatologist | 2018-01427 | NC |
National Provider Identifier
| NPI | 1043607542 |
|---|---|
| Provider Name | Mary Mcgowan Buckley |
| First Address | Durham, NC 27713-4430 |
| Second Address | Durham, NC 27710 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/04/2015 |
| Last Update Date | 07/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.