Blake Butler

NPI 1639794985 · on the registry since 2020

Practice

Address: 1700 Woodlawn Ave
Dyersburg, TN 38024
Phone: (731) 286-1115
Fax: (731) 286-0998
Organisation at this address: Medsouth Healthcare Pc
Jackson Madison County General
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 39

Registry record

Primary taxonomy: 2255A2300X
2255A2300X
Licence states on file: TN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-06-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee