Gwendolyn Buckles

NPI #1356755284 in Matthews, North Carolina

Provider Information

NPI Number: 1356755284
Entity Type: Individual
Name: Gwendolyn Buckles
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jun 18, 2014
Last Updated: Jun 18, 2014

Practice Location

Address: 1110 SAM NEWELL RD
Address 2: SUITE C
City: Matthews
State: North Carolina
ZIP Code: 28105-5013
Phone: (704) 996-1097

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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