Individual
DR. MICHELLE L. BUTTERWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
500 THURGOOD MARSHALL HWY STE B, KINGSTREE, SC 29556-4143
(843) 355-0255
(843) 355-0259
Mailing address
PO BOX 23467, NEW YORK, NY 10087-3221
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
532
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE1502
MEDICAID DME
SC
05
—
PD5328
—
SC
Enumeration date
10/16/2006
Last updated
01/20/2023
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