MEDICARE: DR. GREGORY DAVID BUTTS D.C.

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
1	111N00000X	Chiropractor	2206	TN

General Provider Information

NPI Number	:	1487836839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY DAVID BUTTS D.C.

Provider Business Mailing Address
First Line	:	155 LEGENDS DR
Second Line	:	SUITE F
City	:	LEBANON
State	:	TN
Zip	:	37087-5308
Country	:	US
Telephone Number	:	615-453-8999
Fax Number	:	615-453-8909

Provider Business Practice Location Address
First Line	:	155 LEGENDS DR
Second Line	:	SUITE F
City	:	LEBANON
State	:	TN
Zip	:	37087-5308
Country	:	US
Telephone Number	:	615-453-8999
Fax Number	:	615-453-8909

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/28/2007
Last Update Date	:	12/10/2008

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