Dandy, Regina Buckley
Dandy, Regina Buckley is an individual health care provider with primary practice located at 89 Interchange Dr , Richmond Hill GA 31324-7661. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Dandy, Regina Buckley can be contacted via phone (912) 527-5301.Contact Information
Primary practice address
89 Interchange Dr
Richmond Hill GA 31324-7661
Phone: (912) 527-5301
Fax: (912) 756-4740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 057286 | Georgia |
Profile Details
| NPI number | 1922064336 |
|---|---|
| LBN Legal business name | Dandy, Regina Buckley |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Sep 2nd, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922064336 | NPPES |
| Georgia | MEDICAID | 046401246D | |
| Georgia | Other | 404141 | |
| Georgia | MEDICAID | 046401246A | |
| Georgia | Other | 10069519 | |
| Georgia | Other | GRP3905 | |
| Georgia | Other | P00394151 | |
| Georgia | MEDICAID | 046401246B | |
| Georgia | Other | CH5121 | |
| Georgia | MEDICAID | G57286 | |
| Georgia | Other | 52206024-001 | |
| Georgia | MEDICAID | 046401246C |
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