Individual
DR. TRACEY ELLEN BUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1004 1ST ST N STE 370, ALABASTER, AL 35007-8605
(205) 663-5547
Mailing address
1004 1ST ST N STE 370, ALABASTER, AL 35007-8605
(205) 663-5547
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
22829
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228293
—
SC
01
—
57-1004971024
BCBS OF SC
SC
01
—
7073602
AETNA
SC
Enumeration date
06/13/2006
Last updated
03/16/2021
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