Healthcare Provider Details

I. General information

NPI: 1437553864
Provider Name (Legal Business Name): CHRISTINE BUTTREY RD, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTINE N AKERS

II. Dates (important events)

Enumeration Date: 10/14/2014
Last Update Date: 02/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 N FANT ST
ANDERSON SC
29621-5708
US

IV. Provider business mailing address

4 MEDICAL DR
ELBERTON GA
30635-1830
US

V. Phone/Fax

Practice location:
  • Phone: 864-512-1000
  • Fax: 864-512-3719
Mailing address:
  • Phone: 706-283-3151
  • Fax: 706-213-2578

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number911734
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: