Individual
MR. ALVIN JEROME BUTLER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CHW/CRS-SA
Contact information
Practice address
1 FREEDOM WAY # 1F111, AUGUSTA, GA 30904-6285
(706) 733-0188
Mailing address
1 FREEDOM WAY # 1F111, AUGUSTA, GA 30904-6285
(706) 733-0188
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
IN
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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