Individual
MS. CASSANDRA BUTO-COLLETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
6 RICHLAND MEDICAL PARK DR STE 2100, COLUMBIA, SC 29203-6864
(803) 434-8505
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 434-8505
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
83361
SC
207RC0000X
Cardiovascular Disease Physician
0102204524
VA
207RC0000X
Cardiovascular Disease Physician
83361
SC
390200000X
Student in an Organized Health Care Education/Training Program
0102204524
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
933619
—
SC
Enumeration date
06/07/2006
Last updated
11/13/2024
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