Individual provider · Type 1 NPI

Elliott Butler, PA-C

Surgical Physician Assistant · Duluth, GA

NPI number 1619959756 Active

Practice location

3400 Mcclure Bridge Rd, B201
Duluth, GA 30096-6675

Call (678) 957-8801 Map

Fax (678) 957-8804

Mailing address

PO Box 3460
Duluth, GA 30096-0059

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X0044308 (GA)
Surgical Physician Assistant Primary 363AS0400X000870 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1619959756

Elliott Butler, PA-C's National Provider Identifier is 1619959756, issued on Nov 15, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Duluth, GA. The record was last updated on Nov 24, 2009.