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Individual
DR. CORY C BUTZON
Active
Individual
DR. CORY C BUTZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
003630
GA
208000000X
Pediatrics Physician
Primary
068124
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003125382A
—
GA
Enumeration date
06/29/2009
Last updated
10/31/2019
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