Provider Demographics
NPI:1588677272
Name:CUTTS, GEORGIA A (RN, C)
Entity Type:Individual
Prefix:
First Name:GEORGIA
Middle Name:A
Last Name:CUTTS
Suffix:
Gender:F
Credentials:RN, C
Other - Prefix:
Other - First Name:GEORGIA
Other - Middle Name:A
Other - Last Name:BOTTOMLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN,C
Mailing Address - Street 1:1203 US HWY 98
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526
Mailing Address - Country:US
Mailing Address - Phone:251-621-9167
Mailing Address - Fax:251-621-9003
Practice Address - Street 1:1203 US HWY 98
Practice Address - Street 2:SUITE 2A
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526
Practice Address - Country:US
Practice Address - Phone:251-621-9167
Practice Address - Fax:251-621-9003
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10730942084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry