Butler, Thomas Walker

Butler, Thomas Walker is an individual health care provider with primary practice located at 6501 Peake Rd Ste 900, Macon GA 31210-8051. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Butler, Thomas Walker can be contacted via phone (478) 757-8868.

Contact Information

Primary practice address
6501 Peake Rd Ste 900 Macon GA 31210-8051
Phone: (478) 757-8868
Fax: (478) 757-3285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 19915 Georgia

Profile Details

NPI number 1942206636
LBN Legal business name Butler, Thomas Walker
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Aug 17th, 2010 - about 15 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 1942206636 NPPES
Georgia MEDICAID 0004345960

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