Healthcare Provider Details

I. General information

NPI: 1700111812
Provider Name (Legal Business Name): HUTCHINGS HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2009
Last Update Date: 10/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3096 RIVERSIDE DR SUITE D
MACON GA
31210-0420
US

IV. Provider business mailing address

3096 RIVERSIDE DR SUITE D
MACON GA
31210-0420
US

V. Phone/Fax

Practice location:
  • Phone: 478-405-2222
  • Fax: 478-405-2229
Mailing address:
  • Phone: 478-405-2222
  • Fax: 478-405-2229

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberGA25180
License Number StateGA

VIII. Authorized Official

Name: DR. WILLIAM S HUTCHINGS II
Title or Position: PRESIDENT
Credential: M.D.
Phone: 478-405-2222