Individual
DR. JEROME MACK BUTLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
2006-01706
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205202
MEDCOST
NC
05
—
5908709
—
NC
05
—
N01706
—
SC
Enumeration date
01/02/2008
Last updated
07/13/2018
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