| Doctor Name: | DR. MICHELLE L. BUTTERWORTH |
| NPI Number: | 1235229444 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.P.M. |
| License Number: | 532 |
| Business Practice Address: | 402 Nelson Blvd Suite 300 Kingstree, SC - 295564058 |
| Business Phone Number: | 8433559690 |
| Business Fax Number: | 8433559777 |
| Mailing Address: | 402 Nelson Blvd, Suite 300 KINGSTREE |
| State: | SC |
| Postal Code: | 295564058 |
| Phone Number: | 8433559690 |
| Fax Number: | 8433559777 |
| NPI Enumeration Date: | 10/16/2006 |
| NPI Last Update Date: | 03/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 532 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |