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Mitchell S Willcutt

  • Male

Medical Specialty

Professional ID

  • NPI: 1255371787
  • PECOS ID: 1456545417
  • Enrollment ID: I20101103000841
  • Credential(MD, DO, DPM):
  • Medical School: University Of Alabama School Of Medicine
  • Medical School Graduation Year: 1992

Hospital Service

  • Hospital CCN1: 010104
  • Business Name (LBN)1: Grandview Medical Center

Medical Practices

  • Organization Name: Affinity Cardio-thoracic Specialists, Llc
  • Group Practice ID assigned by PECOS: 0547548406
  • Number of Group Practice member: 7

Location

  • Address1: 2871 Acton Rd
  • Address2: Suite 100
  • City: Vestavia
  • State: Alabama
  • Zip Code: 35243
  • Phone Number:

Medical Practices

  • Organization Name: Stv Cardiothoracic Surgeons Llc
  • Group Practice ID assigned by PECOS: 7618262155
  • Number of Group Practice member: 13

Medicare

  • Medicare Assignment: Maybe
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):