| Mr Wandle Keith Butler, PAC | |
|
306 Westside Dr, Douglas, GA 31533-3530 | |
| (912) 383-7826 | |
| (912) 383-7299 |
| Full Name | Mr Wandle Keith Butler |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 306 Westside Dr, Douglas, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689897209 | NPI | - | NPPES |
| 100000954C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 003196 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Wandle Keith Butler, PAC 410 Shirley Ave, Douglas, GA 31533-2002 Ph: (912) 260-1206 | Mr Wandle Keith Butler, PAC 306 Westside Dr, Douglas, GA 31533-3530 Ph: (912) 383-7826 |
Karen Michelle Green, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1101 Ocilla Rd, Douglas, GA 31533 Phone: 912-383-6966 Fax: 912-389-2108 | |
Caroline Lott Douglas, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 205 Shirley Ave, Douglas, GA 31533 Phone: 912-260-5400 Fax: 912-260-5177 | |
Mrs. Kimberly Lott, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Doctors Dr Ste G, Douglas, GA 31533 Phone: 912-384-6186 Fax: 912-384-6187 | |
Miss Alexis Marie Mcneill, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 312 Westside Dr, Douglas, GA 31533 Phone: 912-384-2200 Fax: 912-383-7992 | |
Hallie S. Brigmond, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1101 Ocilla Rd, Douglas, GA 31533 Phone: 912-384-1900 Fax: 912-389-2105 | |
Mary Jon Roberson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Doctors Dr Ste I, Douglas, GA 31533 Phone: 912-383-6575 | |
Amy Delaine Hodge, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 326 Shirley Ave, Douglas, GA 31533 Phone: 912-384-0322 Fax: 912-260-1086 |