Individual
MARK R. MCCUTCHEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5100 RANGELINE SERVICE RD N, TILLMAN'S CORNER, MOBILE, AL 36619-9504
(251) 378-4000
(251) 378-4006
Mailing address
410 WEST CLINTON STREET, JACKSON, AL 36545-2623
(251) 246-2350
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11316
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C78586
UPIN
AL
Enumeration date
05/18/2006
Last updated
07/10/2007
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