| Butler Neurology Pc | |
|
1264 Wesley Drive Suite 209 Memphis TN 38116 | |
| (901) 396-4958 | |
| (901) 396-7657 |
| Full Name | Butler Neurology Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1264 Wesley Drive, Memphis, Tennessee |
| Authorized Official Name and Position | Darel Anthony Butler (PRESIDENT CEO) |
| Authorized Official Contact | 9013964958 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Butler Neurology Pc 1264 Wesley Drive Suite 209 Memphis TN 38116 Ph: (901) 396-4958 | Butler Neurology Pc 1264 Wesley Drive Suite 209 Memphis TN 38116 Ph: (901) 396-4958 |
| NPI Number | 1881775799 |
|---|---|
| Provider Enumeration Date | 10/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881775799 | NPI | - | NPPES |
| 13422901 | Other | TN | MEDICAID |
| 4075715 | Other | TN | BCBS |
| P00093158 | Other | TN | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 0000027752 (Tennessee) | Primary |
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