Individual
MRS. CARMEN RIDGEWAY BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
115 N SUMTER ST STE 305, SUMTER, SC 29150-4967
(803) 305-1117
Mailing address
1088 POND VIEW RD, MANNING, SC 29102-7816
(803) 460-4640
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22202
SC
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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