Individual
DR. JAMES BLAIR BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1224 TROTWOOD AVE, SOUTHERN RADIOLOGY ASSOCIATES, PLLC, COLUMBIA, TN 38401
(931) 647-5034
(931) 552-6663
Mailing address
1224 TROTWOOD AVE, SOUTHERN RADIOLOGY ASSOCIATES, PLLC, COLUMBIA, TN 38401-4802
(931) 647-5034
(931) 552-6663
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD21236
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3861110
—
TN
01
—
4003539
BLUE CROSS PROVIDER NUMBE
TN
Enumeration date
08/11/2005
Last updated
08/03/2021
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