Individual
J CLARK BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 VILLAGE CENTER BLVD, SUITE 200, MYRTLE BEACH, SC 29579-6683
(843) 353-3460
(843) 353-3461
Mailing address
210 VILLAGE CENTER BLVD STE 140, MYRTLE BEACH, SC 29579-6706
(843) 236-3222
(843) 236-3005
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
18062
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890608R
—
NC
05
—
T18424
—
SC
Enumeration date
04/25/2006
Last updated
07/20/2022
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