person
Randall Carter Nutt, DDS
Student in an Organized Health Care Education/Training Program in Jackson, Mississippi
NPI 1265178081

Randall Carter Nutt is a Student in an Organized Health Care Education/Training Program based in Knoxville, MS. Randall Carter Nutt practices in Jackson, MS and has the professional credentials of DDS. The NPI Number for Randall Carter Nutt is 1265178081 and holds a License No. (Mississippi).

The current practice location address for Randall Carter Nutt is 2500 N State St, Jackson, MS and can be reached out via phone at 601-984-6090 and via fax at 601-984-4949.

Location: 2500 N State St, Jackson, MS, 37922-8406
person
Provider Profile Details
NPI Number
1265178081
Provider Name
Randall Carter Nutt
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2500 N State St, Jackson, MS, 37922-8406
Phone Number
601-984-6090
Fax Number
601-984-4949
Provider Enumeration Date
05/05/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-6090
Fax Number
601-984-4949
person
Provider Business Mailing Address Details
Address
2500 N State St
City
State
Zip
39216-4500
Phone Number
601-984-6090
Fax Number
601-984-4949
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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