Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. WANDLE KEITH BUTLER, PAC
ActiveMR. WANDLE KEITH BUTLER, PAC is a Physician Assistant healthcare provider located in DOUGLAS, Georgia. NPI 1689897209 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · DOUGLAS, GA
Registration Details
- NPI Number
- 1689897209
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2007 (19.305201469539 yrs)
- Last Updated
- Nov 9, 2016
- License
-
003196 (GA)
Practice Information
- Address
-
306 WESTSIDE DRDOUGLAS, GA, 315333530Browse GA providers · Browse ZIP 31533
- Phone
- 9123837826
- Fax
- 9123837299
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in DOUGLAS, GA
| Name | Credential | NPI |
|---|---|---|
| WALTER SHANNON RAY | PAC | 1710081989 |
| JAMES STEPHEN NOBLES | P.A. | 1831302868 |
| KAREN MICHELLE GREEN | PA | 1124219530 |
| CAROLINE LOTT DOUGLAS | PA-C | 1295061208 |
| HALLIE S. BRIGMOND | PA-C | 1366724452 |
| ROSA CRAWFORD | PA-C | 1952749137 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.