Provider Demographics
NPI:1851498265
Name:VANBUREN, JAMES K (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:K
Last Name:VANBUREN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:550 PEACHTREE ST.
Mailing Address - Street 2:MOT 7
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2245
Mailing Address - Country:US
Mailing Address - Phone:404-686-8181
Mailing Address - Fax:404-686-5975
Practice Address - Street 1:550 PEACHTREE ST.
Practice Address - Street 2:MOT 7
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30308-2245
Practice Address - Country:US
Practice Address - Phone:404-686-8181
Practice Address - Fax:404-686-5975
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA8913207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAD31079Medicare UPIN