Individual
KURT ANDREW JUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1603 MEDICAL DR, SUITE D, LAURINBURG, NC 28352-5540
(910) 277-1411
(910) 277-2911
Mailing address
1603 MEDICAL DR, SUITE D, LAURINBURG, NC 28352-5540
(910) 277-1411
(910) 277-2911
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
9800584
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11517
BCBS OF NC
NC
05
—
890109A
—
NC
05
—
NPA810
—
SC
Enumeration date
07/02/2006
Last updated
11/15/2007
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