Individual
MR. JOHN MATTHEW BUTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
1905 N JACKSON ST STE 930, TULLAHOMA, TN 37388-8243
(931) 461-1300
Mailing address
76 MANDA STACY RD, DECHERD, TN 37324-4342
(931) 703-2864
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
TN
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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