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MS. MARIAH LEIGH BUTLER

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1003367541

Individual Registrant:
MS. MARIAH LEIGH BUTLER 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
405 BELCHER ST  CENTREVILLE, AL 35042-2946 US
Tel: 205-926-2992  Fax: 205-316-7675

Contact information for business:
405 BELCHER ST  CENTREVILLE, AL 35042-2946 US
Tel: 205-926-2992  Fax: 205-316-7675

Registration Information:
NPI: 1003367541
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
ALPA.1185

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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