Individual provider · Type 1 NPI

Whitney Renee Wise Buckland, PA-C

Medical Physician Assistant · Columbia, SC

NPI number 1962828194 Active

Practice location

7035 Saint Andrews Rd
Columbia, SC 29212-1177

Call (803) 749-0924 Map

Fax (803) 407-4101

Mailing address

PO Box 6069
West Columbia, SC 29171-6069

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X2078 (SC)

Medical Physician Assistant: Definition to come...

17 other providers at this address

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About NPI 1962828194

Whitney Renee Wise Buckland, PA-C's National Provider Identifier is 1962828194, issued on Mar 12, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Columbia, SC. The record was last updated on Oct 15, 2020.