Individual
JODI N STUTTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
544 BRAWLEY SCHOOL RD STE A, MOORESVILLE, NC 28117-9393
(704) 360-5190
(704) 360-5180
Mailing address
PO BOX 896199, CHARLOTTE, NC 28289-6199
(833) 936-1364
(605) 942-7505
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2006-00728
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1841305380
—
NC
05
—
5905323
—
NC
Enumeration date
08/21/2006
Last updated
03/09/2021
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