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Individual

DR. JACK EVANS BUTTERWORTH JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
121 WESTOVER DR, BRISTOL, TN 37620-2947
(423) 652-2240
Mailing address
121 WESTOVER DR, BRISTOL, TN 37620-2947
(423) 652-2240

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD0000007247
TN

Other

Enumeration date
02/11/2013
Last updated
02/11/2013
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