Individual
MRS. COLLEEN YVONNE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,ATC, LAT
Contact information
Practice address
758 OLD NORCROSS RD, SUITE 110, LAWRENCEVILLE, GA 30045-3385
(678) 985-7190
(678) 985-7158
Mailing address
758 OLD NORCROSS RD, SUITE 110, LAWRENCEVILLE, GA 30045-3385
(678) 985-7190
(678) 985-7158
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT000808
GA
Other
Enumeration date
06/07/2006
Last updated
07/09/2008
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