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Individual

CHRISTIAN BUTCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
150 DUNCAN RD, BUCKEYE, WV 24924-9037
(304) 799-7400
(304) 799-1074
Mailing address
400 N STATE OF FRANKLIN RD, ROOM 2746, JOHNSON CITY, TN 37604-6035
(423) 431-2727
(423) 431-6715

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21677
WV
207R00000X
Internal Medicine Physician
53540
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
53540
TN
207RP1001X
Pulmonary Disease Physician
0101240820
VA
207RP1001X
Pulmonary Disease Physician
2014-02347
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010378796
VA
05
010378915
VA
05
010378931
VA
05
1831116805
NC
05
1831116805
VA
01
19AMB
BCBS NC
NC
01
P01092488
RAILROAD MEDICARE
VA
01
P01662096
RAILROAD MEDICARE
TN
05
Q017835
TN
Enumeration date
07/16/2006
Last updated
02/15/2024
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