Individual
KEANDRE BUTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
500 PEACHTREE ST NE, ATLANTA, GA 30308-3109
(470) 295-5733
Mailing address
45 LONG CREEK DR, COVINGTON, GA 30016-7725
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
10001
GA
Other
Enumeration date
07/31/2020
Last updated
08/09/2022
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