Provider Demographics
NPI:1578609780
Name:MCCUTCHEN, AJA S (MD)
Entity Type:Individual
Prefix:MRS
First Name:AJA
Middle Name:S
Last Name:MCCUTCHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:AJA
Other - Middle Name:SHARAH
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:550 PEACHTREE ST NE
Mailing Address - Street 2:SUITE 1600
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-2208
Mailing Address - Country:US
Mailing Address - Phone:404-888-7575
Mailing Address - Fax:404-253-6896
Practice Address - Street 1:299 N BROAD ST
Practice Address - Street 2:
Practice Address - City:WINDER
Practice Address - State:GA
Practice Address - Zip Code:30680-2155
Practice Address - Country:US
Practice Address - Phone:678-987-1480
Practice Address - Fax:678-987-1481
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA058645207R00000X, 207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine