| Dr Gwyn Gordon Mccutchen Inc | |
|
3681 Spivey Street Loris SC 29569 | |
| (843) 756-5747 | |
| (843) 756-5749 |
| Full Name | Dr Gwyn Gordon Mccutchen Inc |
|---|---|
| Speciality | Dentist |
| Location | 3681 Spivey Street, Loris, South Carolina |
| Authorized Official Name and Position | Gwyn Gordon Mccutchen (PRESIDENT) |
| Authorized Official Contact | 8437565747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gwyn Gordon Mccutchen Inc Post Office Box 220 Loris SC 29569 Ph: (843) 756-5747 | Dr Gwyn Gordon Mccutchen Inc 3681 Spivey Street Loris SC 29569 Ph: (843) 756-5747 |
| NPI Number | 1801914122 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 02/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801914122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1597 (South Carolina) | Primary |
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