person
Elliott Butler, PA-C
Surgical Physician Assistant in Duluth, Georgia
NPI 1619959756

Elliott Butler is a Surgical Physician Assistant based in Duluth, GA and is specialized in Surgical. Elliott Butler practices in Duluth, GA and has the professional credentials of PA-C. The NPI Number for Elliott Butler is 1619959756 and holds a License No. 0044308 (Georgia).

The current practice location address for Elliott Butler is 3400 Mcclure Bridge Rd, Duluth, GA and can be reached out via phone at 678-957-8801 and via fax at 678-957-8804. You can also correspond with Elliott Butler through the mailing address at PO BOX 3460, DULUTH, GA - 30096-0059 (mailing address contact number: 678-957-8801).

Location: 3400 Mcclure Bridge Rd, Duluth, GA, 30096-0059
person
Provider Profile Details
NPI Number
1619959756
Provider Name
Elliott Butler
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
3400 Mcclure Bridge Rd, Duluth, GA, 30096-0059
Phone Number
678-957-8801
Fax Number
678-957-8804
Provider Enumeration Date
11/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
202I975412 01 GA MEDICARE PTAN
1619959756 01 GA NATIONAL PROVIDER IDENTIFIER
100002796A 05 GA
institution
Provider Business Practice Location Address Details
Address
3400 Mcclure Bridge Rd
City
State
Zip
30096-6675
Phone Number
678-957-8801
Fax Number
678-957-8804
person
Provider Business Mailing Address Details
Address
Po Box 3460
City
State
Zip
30096-0059
Phone Number
678-957-8801
Fax Number
678-957-8804
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
000870 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
0044308 (Georgia)
Definition
Definition to come...
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