Individual
WILLIAM BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4075 ELNORA DR, MACON, GA 31210-1822
(478) 757-7888
(478) 757-7887
Mailing address
4075 ELNORA DR, MACON, GA 31210-1822
(478) 633-6600
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
023916
GA
207VE0102X
Reproductive Endocrinology Physician
Primary
023916
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000285436E
—
GA
Enumeration date
09/21/2006
Last updated
06/13/2013
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