Individual
GLORIA J BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2200 HIGHWAY 61 N, VICKSBURG, MS 39183-8246
(601) 883-3340
Mailing address
1115 N FRONTAGE RD, VICKSBURG, MS 39180-5102
(601) 634-8790
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10669
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010931
—
MS
05
—
1994014
—
LA
01
—
4251157
BCBS
MS
01
—
5968106
AETNA
MS
Enumeration date
07/05/2006
Last updated
09/10/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us