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NPI Code Detail

MEDICARE: WESLEY BRYANT BUTLER DO

MEDICARE: WESLEY BRYANT BUTLER DO
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1821930363
Entity Type Code : Individual
Provider Name (Legal Business Name) : WESLEY BRYANT BUTLER DO
Provider Business Mailing Address
First Line : 1125 N CHURCH ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-1007
Country : US
Telephone Number : 336-832-8035
Fax Number : 336-832-7078
Provider Business Practice Location Address
First Line : 1125 N CHURCH ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27401-1007
Country : US
Telephone Number : 336-832-8035
Fax Number : 336-832-7078
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ WESLEY BRYANT BUTLER DO” Practice Location

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