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Contact Information

JEROME M BUTLER JR, MD
2525 COURT DR
GASTONIA, NC28054-2140
 Phone: 704-834-2944
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for JEROME M BUTLER JR · (Male)

NPI Number 1346425055
Status Active
Credentials MD
Entity Individual
Enumeration date 01/02/2008
Last updated 07/13/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 2006-01706
  • NC Medicaid 5908709
  • SC Medicaid N01706
  • NC Other 205202 MEDCOST
Hospital affiliation(s)
  • GASTON MEMORIAL HOSPITAL - (Acute Care)
    2525 COURT DR
    GASTONIA, NC 28052
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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