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Individual

JAMES A. BUTTS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(770) 536-2323
(770) 536-4947
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 535-7445

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036508
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000075578D
GA
05
000075578E
GA
01
10045148
AMERIGROUP
GA
01
1281400
CIGNA
GA
01
1707016
UNITED HEALTHCARE
GA
01
20030423
RR MEDICARE-GRP # CC4177
GA
01
340823
WELLCARE
GA
01
4567385
AETNA
GA
01
52451285
BCBS
GA
Enumeration date
01/16/2006
Last updated
08/17/2011
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