Individual
TIMOTHY BUTTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1871 SAVAGE RD, CHARLESTON, SC 29407-4726
(843) 766-6308
Mailing address
1871 SAVAGE RD, CHARLESTON, SC 29407-4726
(843) 766-6308
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5517
SC
Other
Enumeration date
07/30/2024
Last updated
10/21/2024
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