Individual
DR. STEVEN C BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2002 BROOKSIDE DR, SUITE 102, KINGSPORT, TN 37660-4634
(423) 245-6000
(423) 245-6062
Mailing address
2002 BROOKSIDE DR, SUITE 102, KINGSPORT, TN 37660-4634
(423) 245-6000
(423) 245-6062
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
021779
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
165323
BLUE CROSS BLUE SHIELD
TN
05
—
3063437
—
TN
05
—
6002048
—
VA
01
—
850101
JOHN DEERE HEALTH
TN
Enumeration date
10/28/2005
Last updated
01/28/2020
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