Ernest G. Buchanan, IV, M.D., PC
Organization Active NPI Family Medicine Physician · Cookeville, TN
NPI 1740478486 · NPPES record last updated Jul 1, 2009
Key facts
- NPI
- 1740478486
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 30853 (TN)
- Legal business name
- ERNEST G. BUCHANAN, IV, M.D., PC
- Practice address
- 1101 Neal St
Cookeville, TN 38501-0901 - Phone
- (931) 528-7797
- Fax
- (931) 372-0098
- NPI assigned
- Oct 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Ernest Grover Buchanan IV, M.D.
- Title
- Owner
- Phone
- (931) 528-7797
National Provider Directory
Locations
1101 Neal St
Cookeville, TN 38501
Phone (931) 528-7797
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 30853 | TN | Yes |
Addresses
Primary practice location
1101 Neal St
Cookeville, TN 38501-0901
Mailing address
1101 Neal St
Cookeville, TN 38501-0901
Phone (931) 528-7797
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3723418 | Medicaid | TN |
Other providers in Cookeville, TN
- Lawrence A Epps
- Tracy H. Epps
- Joseph Thomas Erdeljac
- Sara Hargrove Erger
- Malena Landon Erickson
- Chasity Hope Eskew
- Miriam Espinosa
- Stephanie Dawn Estes
- Heidi Ann Estright
- Linda C Esuzor
All providers in Cookeville, TN · Family Medicine Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.