Individual
RUSSELL L BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
584 EXECUTIVE PL STE 202, FAYETTEVILLE, NC 28305-5183
(910) 500-3019
(910) 500-3068
Mailing address
584 EXECUTIVE PL STE 202, FAYETTEVILLE, NC 28305-5183
(910) 500-3019
(910) 500-3068
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC5495
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84177658
—
NC
Enumeration date
12/21/2022
Last updated
12/21/2022
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