Individual
MR. BYRON ANTHONY STUTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
90A CLARK ST, TUPELO, MS 38804-4812
(662) 840-0535
(662) 842-7915
Mailing address
28 SONADA LN, PETAL, MS 39465-9667
(601) 606-9788
(662) 842-7915
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT1522
MS
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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