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Individual

MARSHA J ORCUTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
50 HUMPHREYS CTR, SUITE 23, MEMPHIS, TN 38120-2369
(901) 383-8860
(901) 383-8985
Mailing address
P.O. BOX 1000, DEPT 34, MEMPHIS, TN 38148-0001
(901) 383-8860
(901) 383-8985

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35043632
OH
2085R0202X
Diagnostic Radiology Physician
Primary
MD43654
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000066144
ANTHEM
OH
05
0431134
OH
01
1601325
UHC
OH
05
1803386000
WV
05
200246580A
IN
01
2378543
AETNA
OH
05
64000102
KY
Enumeration date
05/11/2006
Last updated
02/09/2011
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