Pearline M. Butcher, D.o. | |
341 Wallace Rd Suite B Nashville TN 37211-8000 | |
(615) 690-4293 | |
Not Available |
Full Name | Pearline M. Butcher, D.o. |
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Speciality | Family Medicine |
Location | 341 Wallace Rd, Nashville, Tennessee |
Authorized Official Name and Position | Pearline M Butcher (OWNER) |
Authorized Official Contact | 6156904293 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pearline M. Butcher, D.o. 341 Wallace Rd Suite B Nashville TN 37211-8000 Ph: (615) 690-4293 | Pearline M. Butcher, D.o. 341 Wallace Rd Suite B Nashville TN 37211-8000 Ph: (615) 690-4293 |
NPI Number | 1356533954 |
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Provider Enumeration Date | 08/16/2007 |
Last Update Date | 08/16/2007 |
Medicare PECOS PAC ID | 0042308736 |
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Medicare Enrollment ID | O20071113000776 |
Identifier | Type | State | Issuer |
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1356533954 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DO0000000697 (Tennessee) | Primary |
Provider Name | Pearline M Butcher |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538260385 PECOS PAC ID: 2567550346 Enrollment ID: I20071112000486 |
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