Butler Surgical Assistants, LLC
Organization Active NPI Surgical Physician Assistant · Watkinsville, GA
NPI 1629346325 · NPPES record last updated Dec 8, 2011
Key facts
- NPI
- 1629346325
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- PA000870 (GA)
- Legal business name
- BUTLER SURGICAL ASSISTANTS, LLC
- Practice address
- 1381 Sunset RDG
Watkinsville, GA 30677-3393 - Phone
- (706) 614-7158
- Fax
- (866) 753-4652
- NPI assigned
- Dec 8, 2011
- Organization subpart
- No
Authorized official
- Name
- Elliott P Butler, PA
- Title
- Owner/President
- Phone
- (706) 614-7158
Practitioners 2
-
Elliott Butler, PA-C
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant |
363AS0400X | PA000870 | GA | Yes |
Addresses
Primary practice location
1381 Sunset RDG
Watkinsville, GA 30677-3393
Mailing address
1381 Sunset RDG
Watkinsville, GA 30677-3393
Phone (706) 614-7158
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA000870 | Other | GA | STATE LICENSE |
Other providers in Watkinsville, GA
- Dennis G Bullock
- Amanda Burgamy
- Sawyer McKinley Burke
- Shelley Lynn Burke
- Donald Anthony Burroughs
- Katherine Butler
- Terribia Sade Bynum
- Robert Roy Byrne
- Caap Home Visits
- Marley Black Cain
All providers in Watkinsville, GA · Surgical Physician Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.