Individual
CHARLES CALEB BUTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2451 UNIVERSITY HOSPITAL DRIVE, MASTIN 101, MOBILE, AL 36617-2300
(251) 445-8282
(251) 445-8281
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 434-3626
(251) 445-2464
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
225032
NC
2086S0102X
Surgical Critical Care Physician
32937
AL
2086S0127X
Trauma Surgery Physician
Primary
32937
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225032
MEDICAL LICENSE
NC
01
—
32937
MEDICAL LICENSE
AL
Enumeration date
04/13/2012
Last updated
01/12/2021
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