Individual
CLINT CHACHERE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
926 FRANCES DR, HAYNESVILLE, LA 71038-6100
(318) 624-0554
(318) 624-3782
Mailing address
926 FRANCES DR, HAYNESVILLE, LA 71038-6100
(318) 624-0554
(318) 624-3782
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
023033
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1493929
—
LA
Enumeration date
07/03/2006
Last updated
11/17/2015
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