Individual
MINDY BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1850 CHADWICK DR, JACKSON, MS 39204-3404
(855) 863-9595
(706) 868-8375
Mailing address
PO BOX 3726, AUGUSTA, GA 30914-3726
(706) 863-9595
(706) 868-8375
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
026091-01
NY
363A00000X
Physician Assistant
Primary
PS00583
MS
Other
Enumeration date
04/29/2020
Last updated
04/29/2022
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