Individual
DR. MICHAEL BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3226 HAMPTON AVE, SUITE A, BRUNSWICK, GA 31520-4225
(912) 264-0760
Mailing address
3226 HAMPTON AVE, SUITE A, BRUNSWICK, GA 31520-4225
(912) 264-0760
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
035833
GA
207RC0000X
Cardiovascular Disease Physician
35833
GA
207RI0011X
Interventional Cardiology Physician
Primary
35833
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00791975A
—
GA
01
—
060049391
RR MEDICARE
GA
Enumeration date
09/26/2006
Last updated
06/26/2024
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