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Organization

BUTLER NEUROLOGY PC

Active
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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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