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1104379502
DEREK JOHN BUCHANAN
CHARLOTTE, NC
NPI
1104379502
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-06592)
Enumeration Date
2016-08-02
Last Update Date
2024-07-15
Business Address
DEREK JOHN BUCHANAN PA
501 BILLINGSLEY RD STE B
CHARLOTTE, NC 28211-1009
Phone number: 704-444-2400
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Mailing Address
DEREK JOHN BUCHANAN PA
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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