Individual
RODERICK T CUTRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5610
(601) 261-3521
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5610
(601) 261-3521
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
07644
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115680
—
MS
01
—
110008366
RAILROAD MEDICARE
—
01
—
1559016
AMERICAN ADMIN GROUP
MS
Enumeration date
08/03/2006
Last updated
03/26/2009
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