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Individual

DR. ELISHEBA BUTTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
191 MEDICAL BLVD, STOCKBRIDGE, GA 30281-5083
(678) 604-4000
Mailing address
805 SANDY PLAINS ROAD, MEDICAL STAFF SERVICES, MARIETTA, GA 30066-6340

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
079994
GA
207V00000X
Obstetrics & Gynecology Physician
Primary
80048
GA

Other

Enumeration date
06/26/2014
Last updated
12/23/2022
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