Organization
JEFFERY M BUTLER MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY MILES BUTLER MD (OWNER)
(912) 278-3510
Entity
Organization
Contact information
Practice address
11 JOHNSON ST, HAZLEHURST, GA 31539-6243
(800) 367-0816
(912) 705-6867
Mailing address
PO BOX 1166, BAXLEY, GA 31515-1166
(912) 705-6866
(912) 705-6867
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
GA
208D00000X
General Practice Physician
—
GA
Other
Enumeration date
04/29/2015
Last updated
08/07/2019
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