OIG exclusion detail
WANDLE BUTLER
This page shows an imported LEIE row. Verify details against the official OIG source before acting.
Imported OIG rowOfficial OIG source
- NPI
- 1689897209
- Name
- WANDLE KEITH BUTLER
- Address
- 1006 LYNES AVE, #64968-509, JESUP, GA, 31415
- Specialty
- PHYSICIAN ASSISTANT
- Exclusion type
- 1128a4
- Exclusion date
- 20230518
- Reinstatement date
- 00000000
- Waiver
- 00000000
Source snapshot
Imported: May 05, 2026
Rows: 83,001
Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7
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