Mohammad Omar Butt, MD
Internal Medicine in Waycross, GA. Individual provider (NPI-1).
NPI number1346800331
StatusActive
Last updated in NPPESJun 13, 2022
Details
- NPI
- 1346800331
- Entity type
- Individual (NPI-1)
- Name
- Mohammad Omar Butt
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2019
- Certification date
- Jun 13, 2022
- Last updated
- Jun 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 90023 | GA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1900 Tebeau StWaycross, GA 31501-6357
Phone 912-283-3030
Mailing address
2015 Pacific AveAtlantic City, NJ 08401-6726
Phone 609-449-4391
Other practice locations
1925 Pacific Ave
Atlantic City, NJ 08401-6713
Atlantic City, NJ 08401-6713
Phone 609-449-4391
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