Individual
PHELICIA A. CUTHBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4414 LAKE BOONE TRL, SUITE 210, RALEIGH, NC 27607-7513
(919) 571-1040
(919) 781-0247
Mailing address
4414 LAKE BOONE TRL, SUITE 210, RALEIGH, NC 27607-7513
(919) 571-1040
(919) 781-0247
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2005-00980
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140WC
BCBS PROVIDER NUMBER
NC
05
—
5901787
—
NC
Enumeration date
12/20/2005
Last updated
12/17/2024
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