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SHANTWANIA AREONESIA BUCHANAN M.D.

>> Obstetrics & Gynecology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1417971029

Individual Registrant:
 SHANTWANIA AREONESIA BUCHANAN M.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
616 ALCORN DR  CORINTH, MS 38834-9393 US
Tel: 662-286-0206  Fax: 662-665-0068

Contact information for business:
616 ALCORN DR  CORINTH, MS 38834-9393 US
Tel: 662-286-0206  Fax: 662-665-0068

Registration Information:
NPI: 1417971029
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207V00000XAllopathic & Osteopathic Physicians
Obstetrics & Gynecology
MS19033

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
04958871MS05




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