Individual
ASYA BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4290 MEMORIAL DR STE B1, DECATUR, GA 30032-1225
(404) 668-8287
(470) 486-6700
Mailing address
4290 MEMORIAL DR STE B1, DECATUR, GA 30032-1225
(404) 668-8287
(470) 486-6700
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CO105397
GA
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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