Individual
DR. BETH ANNE SCHULZ-BUTULIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5904 SIX FORKS RD STE 211, RALEIGH, NC 27609-8228
(984) 242-0510
(984) 242-0520
Mailing address
5904 SIX FORKS RD STE 211, RALEIGH, NC 27609-8228
(984) 242-0510
(984) 242-0520
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0102201026
VA
207N00000X
Dermatology Physician
Primary
2006-00799
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NCK037D895
MEDICARE PTAN
—
01
—
P01533825
RAILROAD MEDICARE PTAN
—
Enumeration date
06/21/2006
Last updated
10/02/2020
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