Winfield E Butlin in Tucker - Podiatrist

Winfield E Butlin - NPI 1770504631

Winfield E Butlin is a Podiatrist in Tucker, Georgia. Winfield E Butlin practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Winfield E Butlin is 1770504631. The last update date is 2017-08-28.

Winfield E Butlin's current location address is 2193 Northlake Pkwy, Tucker, Georgia. You can contact this provider via phone number 7709385974 and fax number 7709397393. The mailing address for Winfield E Butlin is 2193 Northlake Pkwy, Tucker, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Winfield E Butlin
Address 2193 Northlake Pkwy, Tucker, Georgia
Phone Number 7709385974
Fax Number 7709397393
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1770504631
Provider Enumeration Date 2006-07-23
Last Updated Date 2017-08-28

Provider Mailing Address Detail

Address 2193 Northlake Pkwy
City Tucker
State Georgia (GA)
Post Code 300844116
Phone Number 7709385974
Fax Number 7709397393

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 322
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00006311B GA --
316899 GA UNITED HEALTHCARE
480021837 MCR RAILROAD
517896 AETNA
121113 GA BLUE CROSS BLUE SHIELD

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FAQs about Winfield E Butlin

What is the unique 10-digit identifier code assigned to Winfield E Butlin by the Centers for Medicare & Medicaid Services?

The Winfield E Butlin has been issued the NPI (National Provider Identifier) 1770504631 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Winfield E Butlin's facilities are situated?

The facilities of Winfield E Butlin are physically located at the following address: 2193 Northlake Pkwy, Tucker, GA, 300844116.

What is Winfield E Butlin's specialized field of practice, and what is the corresponding taxonomy classification code?

The Winfield E Butlin's area of specialization is Podiatrist, and the corresponding taxonomy code that categorizes this field of practice is 213E00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1770504631 to Winfield E Butlin?

The Centers for Medicare & Medicaid Services assigned the 1770504631 to Winfield E Butlin on 2006-07-23.

As of what date was the information regarding Winfield E Butlin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Winfield E Butlin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-08-28.

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