Sarah Lynneraven Petty Butler, PA-C
Physician Assistant, Surgical in Raleigh, NC. Individual provider (NPI-1).
NPI number1033716634
StatusActive
Last updated in NPPESNov 13, 2022
Details
- NPI
- 1033716634
- Entity type
- Individual (NPI-1)
- Name
- Sarah Lynneraven Petty Butler
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 6, 2020
- Certification date
- Nov 13, 2022
- Last updated
- Nov 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
Practice location
5838 Six Forks Rd Ste 100Raleigh, NC 27609-3893
Phone 919-785-3400 · Fax 919-783-7778
Mailing address
2016 Osbourne CtRaleigh, NC 27604-4776
Phone 919-618-1534
Other practice locations
3000 New Bern Ave
Raleigh, NC 27610-1295
Raleigh, NC 27610-1295
Phone 919-350-8000
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