Individual
GREGG HARRISON TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
(704) 638-9000
(704) 638-3817
Mailing address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
(704) 638-9000
(704) 638-3817
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB05992500
NJ
207R00000X
Internal Medicine Physician
OS013021
PA
208000000X
Pediatrics Physician
25MB05992500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D06347700
CDS REGISTRATION NUMBER
NJ
Enumeration date
11/18/2005
Last updated
03/07/2023
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