Organization
BUTLER NEUROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAREL ANTHONY BUTLER MD (PRESIDENT CEO)
(901) 396-4958
Entity
Organization
Contact information
Practice address
1264 WESLEY DRIVE, SUITE 209, MEMPHIS, TN 38116
(901) 396-4958
(901) 396-7657
Mailing address
1264 WESLEY DRIVE, SUITE 209, MEMPHIS, TN 38116
(901) 396-4958
(901) 396-7657
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
0000027752
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13422901
MEDICAID
TN
01
—
4075715
BCBS
TN
01
—
P00093158
RR MEDICARE
TN
Enumeration date
10/18/2006
Last updated
08/22/2020
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