Nikichia Butler
Clinic/Center, Health Services in Decatur, GA. Individual provider (NPI-1).
NPI number1982170759
StatusActive
Last updated in NPPESOct 19, 2018
Details
- NPI
- 1982170759
- Entity type
- Individual (NPI-1)
- Name
- Nikichia Butler
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 19, 2018
- Last updated
- Oct 19, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | – | – | Yes |
| 261QX0200X | Clinic/Center, Oncology | – | – |
Practice location
5040 Snapfinger Woods Dr Ste 201cDecatur, GA 30035-4020
Phone 404-422-2847
Mailing address
5040 Snapfinger Woods Dr Ste 201cDecatur, GA 30035-4020
Phone 404-422-2847
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All 7 Health Service Clinic/Center providers in Decatur · All 6,698 providers in Decatur
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