Buchanan, Mark Gary

Buchanan, Mark Gary is an individual health care provider with primary practice located at 1470 Tobias Gadson Blvd Suite 201, Charleston SC 29407-4707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Buchanan, Mark Gary can be contacted via phone (843) 556-7060.

Contact Information

Primary practice address
1470 Tobias Gadson Blvd Suite 201 Charleston SC 29407-4707
Phone: (843) 556-7060
Fax: (843) 556-9960
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 019842 South Carolina

Profile Details

NPI number 1104825637
LBN Legal business name Buchanan, Mark Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Feb 17th, 2017 - about 7 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1104825637 NPPES
South Carolina MEDICAID 198427
South Carolina Other 20 4068094

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