Individual
MR. CHARLES BUTCHER HUTTON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
903 RANDOLPH ST STE 1, THOMASVILLE, NC 27360-6370
(336) 475-7163
(336) 475-1199
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-12608
NC
Other
Enumeration date
10/13/2022
Last updated
12/06/2022
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