Individual
MRS. MARQUETTA DIONNE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNA (PENDING)
Contact information
Practice address
1635 OLD 41 HWY NW, SUITE 112-328, KENNESAW, GA 30152-4480
(770) 732-3664
Mailing address
28110 DOVEWOOD CT, APT. 303, BONITA SPRINGS, FL 34135-2885
(678) 908-4946
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN176690
GA
Other
Enumeration date
06/25/2013
Last updated
06/25/2013
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