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Individual

DR. HARRY LANE TUTEN JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
595 W CAROLINA AVE, VARNVILLE, SC 29944-4735
(803) 943-7600
(803) 943-7601
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5727
(225) 765-9196

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD.202439
LA
208600000X
Surgery Physician
Primary
MD16528
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1316563
LA
01
14380
BCBS NC INDIV
NC
05
5905475
NC
01
P00350185
RAILROAD MEDICARE
NC
05
TL8202
SC
Enumeration date
08/10/2006
Last updated
05/12/2021
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