Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 2007-01267 | NC |
N | 2086S0105X | Surgery of the Hand | 200701267 | NC |
NPI | 1619045820 |
---|---|
Provider Name | Paul J. Cutting |
First Address | Clyde, NC 28721-8085 |
Second Address | Clyde, NC 28721-8085 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2006 |
Last Update Date | 04/10/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
150GU | BCBS NC (01) | NC |
5910083 | (05) | NC |