| Anthony L Buckles Md Sc | |
|
105 Northgate Rd Ste D Natchez MS 39120-9162 | |
| (708) 595-3660 | |
| Not Available |
| Full Name | Anthony L Buckles Md Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 105 Northgate Rd Ste D, Natchez, Mississippi |
| Authorized Official Name and Position | Anthony L Buckles (CEO) |
| Authorized Official Contact | 7085953660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony L Buckles Md Sc 303 Winchester Rd Natchez MS 39120-3927 Ph: (708) 595-3660 | Anthony L Buckles Md Sc 105 Northgate Rd Ste D Natchez MS 39120-9162 Ph: (708) 595-3660 |
| NPI Number | 1245282375 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 11/18/2020 |
| Medicare PECOS PAC ID | 6305750100 |
|---|---|
| Medicare Enrollment ID | O20201204000203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245282375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Anthony Lawrence Buckles |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528053212 PECOS PAC ID: 2264346063 Enrollment ID: I20100427000597 |
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