Cutrer, Roderick T

Cutrer, Roderick T is an individual health care provider with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cutrer, Roderick T can be contacted via phone (601) 268-5610.

Contact Information

Primary practice address
415 S 28Th Ave Hattiesburg MS 39401-7246
Phone: (601) 268-5610
Fax: (601) 261-3521
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 07644 Mississippi

Profile Details

NPI number 1427066752
LBN Legal business name Cutrer, Roderick T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2006
Last updated Mar 26th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427066752 NPPES
Mississippi Other 1559016 AMERICAN ADMIN GROUP
Mississippi Other 110008366 AMERICAN ADMIN GROUP
Mississippi MEDICAID 00115680 AMERICAN ADMIN GROUP

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