Individual
DR. CAROLYN M BUTTROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
2112 BIENVILLE BLVD, SUITE G, OCEAN SPRINGS, MS 39564-3052
(228) 872-7705
(228) 872-7746
Mailing address
2112 BIENVILLE BLVD, SUITE G, OCEAN SPRINGS, MS 39564-3052
(228) 872-7705
(228) 872-7746
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
06016
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018375
—
MS
Enumeration date
02/05/2007
Last updated
07/09/2007
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