Provider Demographics
NPI:1639135692
Name:BUCHANAN, ROBERT T (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:T
Last Name:BUCHANAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:209 HOSPITAL DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HIGHLANDS
Mailing Address - State:NC
Mailing Address - Zip Code:28741-7623
Mailing Address - Country:US
Mailing Address - Phone:828-526-3783
Mailing Address - Fax:828-526-9730
Practice Address - Street 1:209 HOSPITAL DR
Practice Address - Street 2:SUITE 202
Practice Address - City:HIGHLANDS
Practice Address - State:NC
Practice Address - Zip Code:28741-7623
Practice Address - Country:US
Practice Address - Phone:828-526-3783
Practice Address - Fax:828-526-9730
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2011-09-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC18084208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1254UOtherBLUE CROSS
NCD38666Medicare UPIN
NC2279710Medicare ID - Type Unspecified