| NPI | 1184881229 |
|---|---|
| Other Name | DR RAPHAEL A BUCKLE |
| Entity Type | Organization |
| Authorized Contact | LENA BUCKLE Manager 770-529-0460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: GA 56408) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 56408) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2008-05-16 |