Butler, Gemina

Butler, Gemina is an sole proprietor health care provider with primary practice located at 1967 Lakeside Parkway Suite 420, Atlanta GA 30084. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Butler, Gemina can be contacted via phone (770) 414-0055.

Contact Information

Primary practice address
1967 Lakeside Parkway Suite 420 Atlanta GA 30084
Fax: (770) 414-0045
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OT002497 Georgia

Profile Details

NPI number 1649333873
LBN Legal business name Butler, Gemina
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649333873 NPPES
Georgia MEDICAID 00827076A

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