Butler, Jeffery Miles

Butler, Jeffery Miles is an individual health care provider with primary practice located at 11 Johnson St , Hazlehurst GA 31539-6243. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Butler, Jeffery Miles can be contacted via phone (800) 367-0816.

Contact Information

Primary practice address
11 Johnson St Hazlehurst GA 31539-6243
Phone: (800) 367-0816
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X 68488 Georgia

Profile Details

NPI number 1104036359
LBN Legal business name Butler, Jeffery Miles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Jun 24th, 2019 - about 6 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 1104036359 NPPES
Georgia MEDICAID 003127563B

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