Individual
CHAUNCEY RUTHIENEE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
595 HURRICANE SHOALS RD NW STE 301, LAWRENCEVILLE, GA 30046-8769
(470) 325-1280
(678) 701-9857
Mailing address
595 HURRICANE SHOALS RD NW STE 301, LAWRENCEVILLE, GA 30046-8769
(470) 325-1280
(678) 701-9857
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
GAA-NP001729
GA
363L00000X
Nurse Practitioner
NP08561
OH
Other
Enumeration date
01/23/2007
Last updated
02/14/2024
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