Individual
THOMAS WAYNE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1660 SPRING HILL AVE, MOBILE, AL 36604-1405
(251) 665-8000
(251) 665-8010
Mailing address
PO BOX 40430, MOBILE, AL 36640-0430
(251) 665-8000
(251) 665-8010
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
11393
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009911290
—
AL
01
—
051544345
BCBS
AL
05
—
05830273
—
MS
01
—
136553
BLUE CROSS
TN
05
—
3065691
—
TN
Enumeration date
06/12/2006
Last updated
06/03/2015
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