Individual
BRYAN TREMAYNE TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 COURT DR, GASTONIA, NC 28054-2140
(704) 834-2000
(704) 834-2500
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
2015-00470
NC
207ZP0101X
Anatomic Pathology Physician
Primary
2015-00470
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992968952
—
NC
Enumeration date
07/09/2008
Last updated
06/26/2024
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