Butler, Michael

Butler, Michael is an individual health care provider with primary practice located at 3226 Hampton Ave Suite A, Brunswick GA 31520-4225. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Butler, Michael can be contacted via phone (912) 264-0760.

Contact Information

Primary practice address
3226 Hampton Ave Suite A Brunswick GA 31520-4225
Phone: (912) 264-0760
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 035833 Georgia
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35833 Georgia
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 35833 Georgia

Profile Details

NPI number 1780785428
LBN Legal business name Butler, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Jun 26th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780785428 NPPES
Georgia Other 060049391 RR MEDICARE
Georgia MEDICAID 00791975A RR MEDICARE

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