Provider Demographics
NPI:1356316566
Name:BUTLER, ELIZABETH DARSEY (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:DARSEY
Last Name:BUTLER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:875 JOHNSON FERRY RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1418
Mailing Address - Country:US
Mailing Address - Phone:404-497-1020
Mailing Address - Fax:404-252-5666
Practice Address - Street 1:875 JOHNSON FERRY RD
Practice Address - Street 2:SUITE 200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1418
Practice Address - Country:US
Practice Address - Phone:404-497-1020
Practice Address - Fax:404-252-5666
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2021-04-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA025728207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000302904AMedicaid
GAD44977Medicare UPIN