Provider Demographics
NPI:1437553864
Name:BUTTREY, CHRISTINE (RD, LD)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:
Last Name:BUTTREY
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:N
Other - Last Name:AKERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4 MEDICAL DR
Mailing Address - Street 2:
Mailing Address - City:ELBERTON
Mailing Address - State:GA
Mailing Address - Zip Code:30635-1830
Mailing Address - Country:US
Mailing Address - Phone:706-283-3151
Mailing Address - Fax:706-213-2578
Practice Address - Street 1:800 N FANT ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-5708
Practice Address - Country:US
Practice Address - Phone:864-512-1000
Practice Address - Fax:864-512-3719
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-14
Last Update Date:2018-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC911734133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCDT1048Medicaid
GALD004536Medicaid