Mark G. Buchanan M.D.
Urology Physician in Charleston, SC(View on Map)
Full Name
Mark Gary Buchanan M.D.
NPI Number
1104825637
NPI Type
Individual Provider
Gender
Male
Enumeration Date
07/18/2005
Specialties
(Taxonomies)Licenses
State
South Carolina
License Number
019842
Contact
Information
Purpose
Mailing
Location
Address
2687 LAKE PARK DR
1470 TOBIAS GADSON BLVD
City
N Charleston
Charleston
State
SC
SC
Postal Code
29406-9100
29407-4707
Country
US
US
Telephone Number
(843) 572-0097
(843) 556-7060
Identifiers
Identifier
198427
20 4068094
Identifier State
SC
SC
Identifier Issuer
Unknown
TAX ID
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/17/2017
Provider Address
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