| Jodie Mccutcheon, | |
|
137 N Acline St, Lake City, SC 29560-2107 | |
| (843) 394-8822 | |
| Not Available |
| Full Name | Jodie Mccutcheon |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 137 N Acline St, Lake City, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922598044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 44073 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jodie Mccutcheon, 3507 Creek Rd, Lake City, SC 29560-6624 Ph: () - | Jodie Mccutcheon, 137 N Acline St, Lake City, SC 29560-2107 Ph: (843) 394-8822 |
Eliza M Miles, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 652 N Matthews Rd, Lake City, SC 29560 Phone: 843-374-5119 | |
Karon K. Lowder, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 137 N Acline St, Lake City, SC 29560 Phone: 843-394-8822 Fax: 843-394-8856 |