Provider Demographics
NPI:1568500676
Name:HOWARD, BUFFY (RT (R) (CT))
Entity Type:Individual
Prefix:
First Name:BUFFY
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:RT (R) (CT)
Other - Prefix:
Other - First Name:BUFFY
Other - Middle Name:
Other - Last Name:BELCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4709 WOODLAND DR
Mailing Address - Street 2:
Mailing Address - City:OOLTEWAH
Mailing Address - State:TN
Mailing Address - Zip Code:37363-8434
Mailing Address - Country:US
Mailing Address - Phone:423-320-6958
Mailing Address - Fax:
Practice Address - Street 1:6439 GARNERS FERRY RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29209-1638
Practice Address - Country:US
Practice Address - Phone:803-776-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN345125171000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider