Healthcare Provider Details

I. General information

NPI: 1245316355
Provider Name (Legal Business Name): DR. EMILY CARTER HUTTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY LYNN CARTER PHARMD.

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4192 SALEM RD
COVINGTON GA
30016-4532
US

IV. Provider business mailing address

703 BRIGHTON LN
WINDER GA
30680-7294
US

V. Phone/Fax

Practice location:
  • Phone: 770-788-2026
  • Fax:
Mailing address:
  • Phone: 770-868-8689
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number022029
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: