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NPI Code Detail

MEDICARE: MEGAN TUTTLE

MEDICARE: MEGAN TUTTLE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician5591TN
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1942887237
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN TUTTLE
Provider Business Mailing Address
First Line : 350 N HUMPHREYS BLVD
Second Line :
City : MEMPHIS
State : TN
Zip : 38120-2177
Country : US
Telephone Number : 901-226-4003
Fax Number : 901-227-8591
Provider Business Practice Location Address
First Line : 1412 E REELFOOT AVE
Second Line :
City : UNION CITY
State : TN
Zip : 38261-5813
Country : US
Telephone Number : 731-885-5131
Fax Number : 731-885-5335
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2021
Last Update Date : 12/31/2025

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Directions to “ MEGAN TUTTLE ” Practice Location

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