Provider Demographics
NPI:1649266057
Name:CUTRIGHT, MARK T (MD)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:T
Last Name:CUTRIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:300 HOSPITAL CIR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PARIS
Mailing Address - State:TN
Mailing Address - Zip Code:38242-4504
Mailing Address - Country:US
Mailing Address - Phone:731-644-8304
Mailing Address - Fax:731-644-8309
Practice Address - Street 1:300 HOSPITAL CIR
Practice Address - Street 2:SUITE 201
Practice Address - City:PARIS
Practice Address - State:TN
Practice Address - Zip Code:38242-4504
Practice Address - Country:US
Practice Address - Phone:731-644-8304
Practice Address - Fax:731-644-8309
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2014-09-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNMD37667207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4065272OtherBC/BS
TN3884852Medicaid
H15358Medicare UPIN
TN3884852Medicaid
TN1312420001Medicare NSC