Individual
LOGAN DELIVERANCE TUTTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1267 HIGHWAY 54 W STE 2200, FAYETTEVILLE, GA 30214-2110
(770) 716-0051
Mailing address
110 FIELD ST APT D253, NEWNAN, GA 30263-1991
(435) 609-3153
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10968
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/27/2019
Last updated
04/30/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us