Provider Demographics
NPI:1831585850
Name:DUTTON, JAMES WALTER JR (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:WALTER
Last Name:DUTTON
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2215 RANDOLPH ROAD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28207
Mailing Address - Country:US
Mailing Address - Phone:704-372-6846
Mailing Address - Fax:704-731-5264
Practice Address - Street 1:2215 RANDOLPH ROAD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207
Practice Address - Country:US
Practice Address - Phone:704-372-6846
Practice Address - Fax:704-731-5264
Is Sole Proprietor?:No
Enumeration Date:2015-04-07
Last Update Date:2022-11-29
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Provider Licenses
StateLicense IDTaxonomies
GA80860208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery