Provider Demographics
NPI:1790759207
Name:BUFFINGTON, TENA MARIE (LISW)
Entity Type:Individual
Prefix:MS
First Name:TENA
Middle Name:MARIE
Last Name:BUFFINGTON
Suffix:
Gender:F
Credentials:LISW
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Mailing Address - Street 1:300 W HOSPITAL RD BLDG 300
Mailing Address - Street 2:6TH FLOOR INTERDISCIPLINARY PAIN MANAGEMENT
Mailing Address - City:FORT GORDON
Mailing Address - State:GA
Mailing Address - Zip Code:30905-5741
Mailing Address - Country:US
Mailing Address - Phone:706-787-0728
Mailing Address - Fax:
Practice Address - Street 1:300 W HOSPITAL RD BLDG 300
Practice Address - Street 2:6TH FLOOR INTERDISCIPLINARY PAIN MANAGEMENT
Practice Address - City:FORT GORDON
Practice Address - State:GA
Practice Address - Zip Code:30905-5741
Practice Address - Country:US
Practice Address - Phone:706-787-0728
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC62611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical