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NPI Code Detail

MEDICARE: GLORIA L BUTLER MD

MEDICARE: GLORIA L BUTLER 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
1207R00000XInternal Medicine PhysicianMD0000028751TN

General Provider Information

NPI Number : 1801823125
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLORIA L BUTLER MD
Provider Business Mailing Address
First Line : 4115 HAMILL RD
Second Line :
City : HIXSON
State : TN
Zip : 37343-3520
Country : US
Telephone Number : 423-265-1171
Fax Number : 423-785-3454
Provider Business Practice Location Address
First Line : 100 MOCCASIN BEND RD
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37405-4415
Country : US
Telephone Number : 423-265-2271
Fax Number : 423-785-3454
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2006
Last Update Date : 03/07/2023

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Directions to “ GLORIA L BUTLER MD” Practice Location

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