Provider Demographics
NPI:1922140706
Name:BUCHANAN, KEITH CARLTON JR (MD)
Entity type:Individual
Prefix:DR
First Name:KEITH
Middle Name:CARLTON
Last Name:BUCHANAN
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:9810C MEDLOCK BRIDGE RD STE C500
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30097-2014
Mailing Address - Country:US
Mailing Address - Phone:770-559-8306
Mailing Address - Fax:770-796-0375
Practice Address - Street 1:9810C MEDLOCK BRIDGE RD STE C500
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097-2014
Practice Address - Country:US
Practice Address - Phone:770-559-8306
Practice Address - Fax:770-796-0375
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2025-08-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA040625207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine