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NPI Code Detail

MEDICARE: MS. JULIE JO HUTCHINS ATC/L

MEDICARE: MS. JULIE JO HUTCHINS ATC/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer0155NC

General Provider Information

NPI Number : 1023001005
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JULIE JO HUTCHINS ATC/L
Provider Business Mailing Address
First Line : 2803 ROCKWOOD RD
Second Line :
City : GREENSBORO
State : NC
Zip : 27408-3217
Country : US
Telephone Number : 336-545-9430
Fax Number :
Provider Business Practice Location Address
First Line : 1915 LENDEW ST
Second Line : SUITE 200
City : GREENSBORO
State : NC
Zip : 27408-7033
Country : US
Telephone Number : 336-235-4509
Fax Number : 336-275-3320
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2005
Last Update Date : 07/08/2007

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