Individual
DR. JEFFERY MILES BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 CROSS ST, HAZLEHURST, GA 31539-6427
(912) 699-6530
(912) 699-6535
Mailing address
163 S TALLAHASSEE ST, HAZLEHURST, GA 31539-6465
(912) 699-6530
(912) 699-6535
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
68488
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003127563B
—
GA
Enumeration date
05/23/2007
Last updated
01/10/2025
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