IDRIS BUKE

VILLA RICA, GA
NPI1801582481
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA  APRN-NP216420)
Enumeration Date2023-04-17
Last Update Date2025-10-10
Business Address
Mr. IDRIS BUKE PMHNP-BC
20 HERRELL RD
VILLA RICA, GA 30180-5527
Phone number: 770-812-3266
Mailing Address
Mr. IDRIS BUKE PMHNP-BC
20 HERRELL RD
VILLA RICA, GA 30180-5527
Phone number: 770-812-3530