Individual
JEFFREY ROBET MCCUTCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
613 E ROOSEVELT BLVD, MONROE, NC 28112-5124
(704) 283-8193
(704) 283-7252
Mailing address
PO BOX 601888, CHARLOTTE, NC 28260-1888
(704) 283-8193
(704) 283-7252
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
002717
OH
207Q00000X
Family Medicine Physician
Primary
2009-00328
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012328
—
SC
05
—
1053406686
—
NC
05
—
527460
—
OH
05
—
5911517
—
NC
Enumeration date
10/03/2006
Last updated
11/11/2014
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