Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Wandle Keith Butler, PAC

Individual provider Physician Assistant · NPI 1689897209

Mr. Wandle Keith Butler, PAC is a Physician Assistant in Douglas, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

306 Westside Dr
Douglas, GA 31533-3530
Phone: (912) 383-7826
Fax: (912) 383-7299
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 003196 (GA)

Record details

NPI number1689897209
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedApril 11, 2007
Last updated in NPPESNovember 9, 2016

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