Healthcare Provider Details

I. General information

NPI: 1104303163
Provider Name (Legal Business Name): HUTCHINSON CONSULTANTS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2018
Last Update Date: 07/23/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 WYNFIELD WAY
AUBURN GA
30011-2849
US

IV. Provider business mailing address

214 WYNFIELD WAY
AUBURN GA
30011-2849
US

V. Phone/Fax

Practice location:
  • Phone: 770-963-1223
  • Fax: 770-995-5379
Mailing address:
  • Phone: 770-963-1223
  • Fax: 770-995-5379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number034620
License Number StateGA

VIII. Authorized Official

Name: DR. LESLIE HUTCHINSON
Title or Position: OWNER
Credential: MD
Phone: 678-699-3721