Buchanan, Gwendolyn Lisa

Buchanan, Gwendolyn Lisa is an individual health care provider with primary practice located at 108 E Main St Ste 210B , Kingsport TN 37660-4257. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Buchanan, Gwendolyn Lisa can be contacted via phone (423) 302-0347.

Contact Information

Primary practice address
108 E Main St Ste 210B Kingsport TN 37660-4257
Phone: (423) 302-0347
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 5580 Tennessee

Profile Details

NPI number 1629322839
LBN Legal business name Buchanan, Gwendolyn Lisa
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2012
Last updated Jul 26th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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