Individual
GREGORY MARK DUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPAS PA
Contact information
Practice address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1000
Mailing address
506 LAURENS DR, ANDERSON, SC 29621-2609
(210) 669-8428
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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