Individual
MRS. EMILY FAITH BUTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2200 HAMMETT RD, LAGRANGE, GA 30241
(706) 880-7232
Mailing address
301 MEDICAL DRIVE SUITE 504, LAGRANGE, GA 30240
(706) 812-2655
(706) 812-2428
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN268138
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN268138
GA
Other
Enumeration date
03/30/2019
Last updated
03/21/2022
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