Individual
DR. JUSTIN SEAN BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, SA-C
Contact information
Practice address
250 PHARR RD NE APT 1307, ATLANTA, GA 30305-2278
(864) 354-1323
Mailing address
250 PHARR RD NE APT 1307, ATLANTA, GA 30305-2278
(864) 354-1323
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
21-139
—
Other
Enumeration date
04/13/2021
Last updated
04/13/2021
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