Provider Demographics
NPI:1437246766
Name:BUCHANAN, ALISON WALKER
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:WALKER
Last Name:BUCHANAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 GREENWICH DR
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29803-6536
Mailing Address - Country:US
Mailing Address - Phone:803-507-2478
Mailing Address - Fax:
Practice Address - Street 1:830 LAURENS ST
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-3416
Practice Address - Country:US
Practice Address - Phone:803-649-6264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3536225100000X
GA003114225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist