Healthcare Provider Details

I. General information

NPI: 1891354031
Provider Name (Legal Business Name): DANIEL M HUTCHINSON MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2019
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5667 PEACHTREE DUNWOODY RD STE 285
SANDY SPRINGS GA
30342-1716
US

IV. Provider business mailing address

5667 PEACHTREE DUNWOODY RD STE 285
SANDY SPRINGS GA
30342-1716
US

V. Phone/Fax

Practice location:
  • Phone: 404-882-7206
  • Fax: 404-726-5923
Mailing address:
  • Phone: 404-882-7206
  • Fax: 404-726-5923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number90456
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: