Individual
DR. MIROSLAV CUTURIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8 MEDICAL PARK DRIVE, SUITE 420, COLUMBIA, SC 29203-8003
(803) 565-6050
(803) 565-6051
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 293-7330
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
19766
SC
2084N0600X
Clinical Neurophysiology Physician
19766
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197664
—
SC
01
—
G654149482
MEDICARE PTAN
SC
01
—
GP5417
MEDICAID GROUP
SC
Enumeration date
03/29/2006
Last updated
09/26/2018
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