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Individual

MADISON RAE BUTLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
140 W 14TH ST, CHATTANOOGA, TN 37402-4403
(423) 682-8674
Mailing address
8516 GRACIE MAC LN, OOLTEWAH, TN 37363-5791

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
34633
TN

Other

Enumeration date
09/28/2023
Last updated
09/28/2023
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