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John Butler

Technician/Technologist, Optician in Atlanta, GA. Individual provider (NPI-1).

NPI number1144084880
StatusActive
Last updated in NPPESFeb 13, 2024

Details

NPI
1144084880
Entity type
Individual (NPI-1)
Name
John Butler
Sex
Male
Sole proprietor
No
Enumeration date
Feb 13, 2024
Certification date
Feb 13, 2024
Last updated
Feb 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician1319GAYes

Practice location

3225 Cumberland Blvd Se Ste 175
Atlanta, GA 30339-6407

Phone 404-351-2220

Mailing address

3225 Cumberland Blvd Se Ste 175
Atlanta, GA 30339-6407

Phone 404-351-2220

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