Healthcare Provider Details

I. General information

NPI: 1740122126
Provider Name (Legal Business Name): EMMA MCCALL HUTTO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3314 PLATT SPRINGS RD
WEST COLUMBIA SC
29170-2204
US

IV. Provider business mailing address

3314 PLATT SPRINGS RD
WEST COLUMBIA SC
29170-2204
US

V. Phone/Fax

Practice location:
  • Phone: 803-791-3494
  • Fax: 803-739-9854
Mailing address:
  • Phone: 803-791-3494
  • Fax: 803-739-9854

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number263780
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: