Search › Georgia › 1041C0700X
Shante Butler
NPI 1609780295 · on the registry since 2026 · sole proprietor
Practice
- Address
- 64 Rice Mill Rd
Port Wentworth, GA 31407 - Phone
- (912) 655-2028
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-09-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia