Georgia J Buckley (NPI# 1205862547, PAC ID# 0840297909) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1205862547 |
| PAC ID by PECOS | 0840297909 |
| Professional Enrollment ID | I20061102000264 |
| Full Name | Georgia J Buckley |
| Address |
2547 Ravenhill Dr Suite 104 Fayetteville NC 28303-5461 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340028 | CAPE FEAR VALLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2547 Ravenhill Dr, Suite 104, Fayetteville, NC 28303-5461 |
| Street Address |
2547 RAVENHILL DR SUITE 104 |
| City | FAYETTEVILLE |
| State | NC |
| Zip | 28303-5461 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dennis Ray Royal | Chiropractic | 532 A N Mcpherson Church Rd, Fayetteville, NC 28303-0278 | |
| Rowland N Pickett | Physical Therapy | Revolution Incorporated | 5860 Yadkin Rd, Fayetteville, NC 28303-2668 |
| Nancy J Hunt | Occupational Therapy | Revolution Incorporated | 5860 Yadkin Rd, Fayetteville, NC 28303-2668 |
| Shanna Scott Thurman | Physical Therapy | Revolution Incorporated | 5860 Yadkin Rd, Fayetteville, NC 28303-2668 |
| Joseph Murphy | Physical Therapy | Revolution Incorporated | 5860 Yadkin Rd, Fayetteville, NC 28303-2668 |
| Kristopher Rashard Williams | Physical Therapy | Revolution Incorporated | 5860 Yadkin Rd, Fayetteville, NC 28303-2668 |
| Alexa Marie Gortian | Physical Therapy | Revolution Incorporated | 5860 Yadkin Rd, Fayetteville, NC 28303-2668 |
| Anthony Disalvo | Physical Therapy | Revolution Incorporated | 5860 Yadkin Rd, Fayetteville, NC 28303-2668 |
| Le-ann G Mancio | Physical Therapy | Revolution Incorporated | 5860 Yadkin Rd, Fayetteville, NC 28303-2668 |
| Tremayne T Thurman | Occupational Therapy | Revolution Incorporated | 5860 Yadkin Rd, Fayetteville, NC 28303-2668 |
| Find all physicians in zip 28303 | |||
| City | FAYETTEVILLE |
| Zip Code | 28303 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FAYETTEVILLE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Georgia J Buckley.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.