Individual
RONALD GRAY TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
631 COLISEUM DR, WINSTON SALEM, NC 27106-5310
(336) 723-1041
(336) 773-0086
Mailing address
631 COLISEUM DR, WINSTON SALEM, NC 27106-5310
(336) 723-1041
(336) 773-0086
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
642
NC
Other
Enumeration date
12/19/2005
Last updated
05/23/2008
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