Healthcare Provider Details

I. General information

NPI: 1922098169
Provider Name (Legal Business Name): MARTHA J BUTTERFIELD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2005
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 STONECREST PKWY STE 130
SMYRNA TN
37167-6827
US

IV. Provider business mailing address

3024 BUSINESS PARK CIR
GOODLETTSVILLE TN
37072-3132
US

V. Phone/Fax

Practice location:
  • Phone: 615-895-6500
  • Fax:
Mailing address:
  • Phone: 615-239-2018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number19575
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: