Individual
DR. TERI S. GILL BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTOMITRIST
Contact information
Practice address
2711 W KINGSHIGHWAY, SUITE 4, PARAGOULD, AR 72450-2604
(870) 236-9371
(870) 236-8984
Mailing address
3713 MARCHBANKS CIR, JONESBORO, AR 72401-8755
(870) 236-9371
(870) 236-8984
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2531
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148781722
—
AR
01
—
49835
BLUE CROSS/BLUE SHIELD
AR
Enumeration date
04/13/2006
Last updated
08/16/2013
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