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Gemina Butler, OTR
Specialist in Atlanta, Georgia
NPI 1649333873

Gemina Butler is a Specialist based in Atlanta, GA. Gemina Butler practices in Atlanta, GA and has the professional credentials of OTR. The NPI Number for Gemina Butler is 1649333873 and holds a License No. OT002497 (Georgia).

The current practice location address for Gemina Butler is 1967 Lakeside Parkway, Atlanta, GA and can be reached out via phone at 770-414-0055 and via fax at 770-414-0045.

Location: 1967 Lakeside Parkway, Atlanta, GA, 30313-1261
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Provider Profile Details
NPI Number
1649333873
Provider Name
Gemina Butler
Credential
OTR
Provider Entity Type
Individual
Gender
Female
Address
1967 Lakeside Parkway, Atlanta, GA, 30313-1261
Phone Number
770-414-0055
Fax Number
770-414-0045
Provider Enumeration Date
12/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00827076A 05 GA
institution
Provider Business Practice Location Address Details
Address
1967 Lakeside Parkway
City
State
Zip
30084
Phone Number
770-414-0055
Fax Number
770-414-0045
person
Provider Business Mailing Address Details
Address
1967 Lakeside Parkway
City
State
Zip
30084
Phone Number
770-414-0055
Fax Number
770-414-0045
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Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
OT002497 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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