Individual
MRS. JAIME DRUMMOND KUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS
Contact information
Practice address
3400B OLD MILTON PKWY, ALPHARETTA, GA 30005
(770) 442-1413
Mailing address
6955 LANCASTER CIR, CUMMING, GA 30040-7340
(770) 205-8285
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3780
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1050675
NCCPA CERTIFICATE NUMBER
GA
01
—
3780
STATE LICENSE
GA
Enumeration date
01/08/2007
Last updated
07/08/2007
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