MEDICARE: DR. BOBBY EDWARD BUTLER 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	CHIR007646	GA

General Provider Information

NPI Number	:	1871747683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BOBBY EDWARD BUTLER D.C.

Provider Business Mailing Address
First Line	:	270 CARPENTER DR NE
Second Line	:	SUITE 550
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30328-4931
Country	:	US
Telephone Number	:	770-653-4563
Fax Number	:

Provider Business Practice Location Address
First Line	:	270 CARPENTER DR NE
Second Line	:	SUITE 550
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30328-4931
Country	:	US
Telephone Number	:	770-653-4563
Fax Number	:

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

Provider Enumeration Date	:	11/06/2008
Last Update Date	:	11/06/2008

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