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NPI Code Detail

MEDICARE: DEWAYNE BUTCHER MD

MEDICARE: DEWAYNE BUTCHER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician37801NC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2930119503OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881691574
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEWAYNE BUTCHER MD
Provider Business Mailing Address
First Line : PO BOX 308
Second Line :
City : NAPLES
State : NC
Zip : 28760-0308
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 100 HOSPITAL DR
Second Line :
City : HENDERSONVILLE
State : NC
Zip : 28792-5272
Country : US
Telephone Number : 828-681-2146
Fax Number : 828-651-9569
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 05/19/2008

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