Individual
DIANA K MCCUTCHEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2850 HIGHWAY 101, ROGERSVILLE, AL 35652-6046
(256) 247-1331
(256) 247-9791
Mailing address
11631 HIGHWAY 101, LEXINGTON, AL 35648-3249
(256) 229-6691
(256) 229-6866
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
19246
AL
207R00000X
Internal Medicine Physician
Primary
19246
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000030163
—
AL
01
—
051030163
BCBSA
AL
05
—
1760484380
—
AL
05
—
51521666
—
AL
Enumeration date
08/12/2005
Last updated
03/16/2009
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