NPI 1649236118 · live from the CMS NPI Registry
J Clark Butler, MD
Orthopaedic Surgery in Myrtle Beach, SC. National Provider Identifier 1649236118, active.
NPI record
| NPI | 1649236118 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 210 Village Center Blvd, Suite 200, Myrtle Beach, SC 29579 |
| Practice phone | 843-353-3460 |
| Mailing address | 210 Village Center Blvd Ste 140, Myrtle Beach, SC 29579 |
| Enumerated | April 25, 2006 |
| Last updated | July 20, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery primary | 207X00000X | 18062 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.