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Contact Information

SUSAN O DUNCAN BUTLER, MD
3614 PROVIDENCE RD S
WAXHAW, NC28173
 Phone: 704-384-8460
 Fax: 704-384-8465
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for SUSAN O DUNCAN BUTLER · (Female)

NPI # 1184621534
Status Active
Credentials MD
Entity Individual
Enumeration date 06/30/2005
Last updated 10/25/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 2001-00861
  • NC Medicaid 1184621534
  • NC Other 130U1 BCBS PROVIDER NUMBER
  • NC Other NC8802C MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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