Individual
DANIEL R ORCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1240 EAGLES LANDING PKWY, SUITE 300, STOCKBRIDGE, GA 30281
(770) 506-4350
(770) 506-9860
Mailing address
900 CIRCLE 75 PKWY SE, SUITE 1700, ATLANTA, GA 30339-3035
(770) 953-6929
(770) 953-6972
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
0101237530
VA
207X00000X
Orthopaedic Surgery Physician
Primary
061501
GA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
061501
GA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
240218
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10148871
—
VA
01
—
179602
ANTHEM
VA
01
—
P010240218
EXCELLUS ROCHESTER
NY
Enumeration date
05/15/2006
Last updated
06/03/2014
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