Individual
DR. HARRY L BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 S 28TH AVE, HATTIESBURG, MS 39401-7233
(601) 288-8282
(601) 288-8290
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 288-8282
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
09768
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018455
—
MS
01
—
110047972
RAILROAD MEDICARE
MS
01
—
4350883
AETNA
MS
01
—
6017128
HEALTHSPRINGS
MS
01
—
P00676192
RAILROAD MEDICARE
MS
Enumeration date
08/19/2005
Last updated
08/23/2016
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