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Individual

MR. JIMMY CHARLES BUTTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CO

Contact information

Practice address
1840 OWEN DR, SUITE 102, FAYETTEVILLE, NC 28304-1633
(910) 484-2645
(910) 484-0866
Mailing address
1840 OWEN DR, SUITE 102, FAYETTEVILLE, NC 28304-1633
(910) 484-2645
(910) 484-0866

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7795000
NC
Enumeration date
01/24/2007
Last updated
02/05/2016
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