Provider Demographics
NPI:1518680925
Name:BUCHANON, SHERICA (PA-C)
Entity Type:Individual
Prefix:MS
First Name:SHERICA
Middle Name:
Last Name:BUCHANON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2004 BURT MILL RD
Mailing Address - Street 2:
Mailing Address - City:TALLASSEE
Mailing Address - State:AL
Mailing Address - Zip Code:36078-6819
Mailing Address - Country:US
Mailing Address - Phone:205-886-6916
Mailing Address - Fax:
Practice Address - Street 1:3326 WATTERS RD BLDG D
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-2053
Practice Address - Country:US
Practice Address - Phone:832-386-9200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-21
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant