MEDICARE: WAYNE HUTCHISON MD

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
1	207Q00000X	Family Medicine Physician	0101027400	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255303368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WAYNE HUTCHISON MD

Provider Business Mailing Address
First Line	:	2059 FOUNDING WAY RD
Second Line	:
City	:	LOWRY
State	:	VA
Zip	:	24570
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1613 OAKWOOD ST
Second Line	:
City	:	BEDFORD
State	:	VA
Zip	:	24523-1213
Country	:	US
Telephone Number	:	540-586-4723
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/02/2006
Last Update Date	:	08/12/2011

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Directions to “ WAYNE HUTCHISON MD” Practice Location

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