Healthcare Provider Details

I. General information

NPI: 1871902890
Provider Name (Legal Business Name): CYNDIA HUTCHISON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2014
Last Update Date: 08/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 HIGHWAY 46 S
DICKSON TN
37055-2565
US

IV. Provider business mailing address

721 HIGHWAY 46 S
DICKSON TN
37055-2565
US

V. Phone/Fax

Practice location:
  • Phone: 615-446-3797
  • Fax:
Mailing address:
  • Phone: 615-446-3797
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: