Provider Demographics
NPI:1134251952
Name:BUCKINGHAM, APRIL GARRIS (PA-C)
Entity type:Individual
Prefix:MRS
First Name:APRIL
Middle Name:GARRIS
Last Name:BUCKINGHAM
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8017 HENDERSON RD
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29483-5296
Mailing Address - Country:US
Mailing Address - Phone:843-819-1336
Mailing Address - Fax:
Practice Address - Street 1:9221 UNIVERSITY BLVD
Practice Address - Street 2:SUITE 2E
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9148
Practice Address - Country:US
Practice Address - Phone:843-572-5001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1203363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical