Individual
BETHANY NUGENT BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MCGARITY RD, CANTON, GA 30115
(770) 360-9183
Mailing address
1704 WINSTON CT, WOODSTOCK, GA 30189-3573
(404) 644-3917
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006906
GA
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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