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MRS. ALICIA THERIOT TUTTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1071 BOILING SPRINGS RD, SPARTANBURG, SC 29303-2201
(864) 278-7088
(864) 278-7091
Mailing address
1650 SKYLYN DR 240, SPARTANBURG, SC 29307-1069
(864) 253-8100

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 1746
SC
363A00000X
Physician Assistant
PA200212
LA

Other

Enumeration date
10/10/2008
Last updated
12/16/2015
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