NPI 1164122727

Alvin Jerome Butler, CHWCRSSA

Practitioner Peer Specialist Augusta, GA

Practice location

Address: 1 Freedom Way # 1f111, Augusta, GA 30904-6285
Phone: (706) 733-0188

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1164122727
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Mar 2023
Record last updated: 3 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.