BUTLER SURGICAL ASSISTANTS LLC NPI 1629346325

NPI Information

NPI: 1629346325
Provider Name: BUTLER SURGICAL ASSISTANTS, LLC
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
1381 SUNSET RDG
WATKINSVILLE, GA
ZIP 30677
Phone: (706) 614-7158
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BUTLER SURGICAL ASSISTANTS, LLC is a surgical physician assistant in Watkinsville, GA. BUTLER SURGICAL ASSISTANTS, LLC NPI is 1629346325. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1381 SUNSET RDG
WATKINSVILLE, GA
ZIP 30677-393
Phone: (706) 614-7158
Fax: (866) 753-4652

The provider's authorized official is Elliott P Butler .
The authorized official title is Owner/president and has the following contact phone number (706) 614-7158.

The enumeration date for this NPI number is 12/8/2011 and was last updated on 12/8/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA000870	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PA000870	OTHER	GEORGIA	STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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