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Organization

BUTLER SURGICAL ASSISTANTS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELLIOTT P BUTLER PA (OWNER/PRESIDENT)
(706) 614-7158
Entity
Organization

Contact information

Practice address
1381 SUNSET RDG, WATKINSVILLE, GA 30677-3393
(706) 614-7158
(866) 753-4652
Mailing address
1381 SUNSET RDG, WATKINSVILLE, GA 30677-3393
(706) 614-7158
(866) 753-4652

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA000870
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA000870
STATE LICENSE
GA
Enumeration date
12/08/2011
Last updated
12/08/2011
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