Organization
SOUTH CENTRAL MEDICAL CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REX ALLEN BUTLER M.D. (PRESIDENT)
(334) 222-8525
Entity
Organization
Contact information
Practice address
843 S THREE NOTCH ST, ANDALUSIA, AL 36420-5321
(334) 222-8525
(334) 222-3469
Mailing address
843 S THREE NOTCH ST, ANDALUSIA, AL 36420-5321
(334) 222-8525
(334) 222-3469
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00009991
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-10420
BLUE CROSS PROVIDER NUMBE
AL
Enumeration date
06/04/2007
Last updated
08/22/2020
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