Individual
FREDERICK CLARENCE BUTLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3749 RESTON CT, WILMINGTON, NC 28403-6170
(910) 395-9326
(910) 395-0198
Mailing address
3749 RESTON CT, WILMINGTON, NC 28403-6170
(910) 395-9326
(910) 395-0198
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
13071
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8920438
—
NC
Enumeration date
09/21/2006
Last updated
07/08/2007
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