Individual provider · Type 1 NPI
Theresa Kassack Buchanan, NP
Family Nurse Practitioner · Milledgeville, GA
NPI number
1902128747
Active
Practice location
134 W Campus Dr, Cbx 091
Milledgeville, GA 31061
Fax (478) 445-3142
Mailing address
265 Lake Island Dr
Sparta, GA 31087-5022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | RN149616 (GA) |
| Family Nurse Practitioner Primary | 363LF0000X | RN149616 (GA) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1902128747
Theresa Kassack Buchanan, NP's National Provider Identifier is 1902128747, issued on Feb 22, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Milledgeville, GA. The record was last updated on Mar 8, 2022.