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NPI Code Detail

MEDICARE: MS. GEORGIA BUTLER CNM

MEDICARE:  MS. GEORGIA  BUTLER  CNM
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
1176B00000XMidwife449160TX

General Provider Information

NPI Number : 1538168224
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GEORGIA BUTLER CNM
Provider Business Mailing Address
First Line : 2535 COUNTY ROAD 3220
Second Line :
City : KEMPNER
State : TX
Zip : 76539-3497
Country : US
Telephone Number : 254-547-8609
Fax Number : 254-286-7327
Provider Business Practice Location Address
First Line : 36000 DARNALL LOOP
Second Line : CRDAMC
City : FT. HOOD
State : TX
Zip : 76544
Country : US
Telephone Number : 254-288-8106
Fax Number : 254-286-7327
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2005
Last Update Date : 07/09/2007

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Directions to “ MS. GEORGIA BUTLER CNM” Practice Location

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