Provider Demographics
NPI:1053133983
Name:BUTTS, MORGAN D (PHARM D)
Entity type:Individual
Prefix:DR
First Name:MORGAN
Middle Name:D
Last Name:BUTTS
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 PEARL DR
Mailing Address - Street 2:
Mailing Address - City:AMERICUS
Mailing Address - State:GA
Mailing Address - Zip Code:31709-5736
Mailing Address - Country:US
Mailing Address - Phone:229-938-3071
Mailing Address - Fax:
Practice Address - Street 1:1639 BRADLEY PARK DR STE 60
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-3620
Practice Address - Country:US
Practice Address - Phone:229-938-3071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA035236183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist