Individual
DR. JOHN CLOYD TUTTLE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
230 OAK AVE, KANNAPOLIS, NC 28081-4329
(704) 932-7016
(704) 932-7369
Mailing address
230 OAK AVE, KANNAPOLIS, NC 28081-4329
(704) 932-7016
(704) 932-7369
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28704
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84193
BC-BS
NC
05
—
8984193
—
NC
Enumeration date
02/19/2007
Last updated
03/03/2021
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