MR. Wandle Keith Butler, PAC

NPI #1689897209 in Douglas, Georgia

Provider Information

NPI Number
1689897209
Entity Type
Individual
Name
MR. Wandle Keith Butler, PAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PAC
Enumeration Date
Apr 11, 2007
Last Updated
Nov 9, 2016

Practice Location

Address
306 WESTSIDE DR
State
Georgia
ZIP Code
31533-3530
Phone
(912) 383-7826

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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