Provider Demographics
NPI:1841278371
Name:BUTLER, RHETT THOMAS (HS)
Entity type:Individual
Prefix:MR
First Name:RHETT
Middle Name:THOMAS
Last Name:BUTLER
Suffix:
Gender:M
Credentials:HS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 COAST GUARD BLVD
Mailing Address - Street 2:MEDICAL DEPARTMENT
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23703-2135
Mailing Address - Country:US
Mailing Address - Phone:757-483-8600
Mailing Address - Fax:757-483-8610
Practice Address - Street 1:4000 COAST GUARD BLVD
Practice Address - Street 2:MEDICAL DEPARTMENT
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23703-2135
Practice Address - Country:US
Practice Address - Phone:757-483-8600
Practice Address - Fax:757-483-8610
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other