Individual
SHABREKA WIL'NESHA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
361 S CUTHBERT ST, COLQUITT, GA 39837-3904
(229) 415-0079
Mailing address
361 S CUTHBERT ST, COLQUITT, GA 39837-3904
(229) 415-0079
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN301705
GA
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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