Individual
THOMAS WALKER BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6501 PEAKE RD, STE 900, MACON, GA 31210-8051
(478) 757-8868
(478) 757-3285
Mailing address
6501 PEAKE RD, STE 900, MACON, GA 31210-8051
(478) 757-8868
(478) 757-3285
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
19915
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004345960
—
GA
Enumeration date
06/27/2005
Last updated
08/17/2010
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