Individual
RANDALL CARTER NUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6090
(601) 984-4949
Mailing address
2121 LAKEPOINT DR, KNOXVILLE, TN 37922-8406
(865) 223-0095
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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