Individual
DR. MARCELLA MARIA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3155 MAPLEWOOD AVE, WINSTON SALEM, NC 27103
(336) 794-4372
(336) 659-2379
Mailing address
3010 TRENWEST DR, WINSTON SALEM, NC 27103-3208
(336) 970-5000
(336) 970-5298
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
200400648
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89137VP
—
NC
01
—
P00614231
RAILROAD MEDICARE
NC
Enumeration date
07/05/2006
Last updated
08/14/2023
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