NPI Profile for FAYE A BUFFALOE in COLLEGE PARK, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI # | 1023454105 |
|
| Status | Active | |
| Credentials | CAC II, CCS | |
| Entity | Individual | |
| Enumeration date | 05/16/2013 | |
| Last updated | 05/16/2013 - About 13 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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FAYE A BUFFALOE
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