Healthcare Provider Details

I. General information

NPI: 1588606537
Provider Name (Legal Business Name): CYNTHIA M. HUTCHINS P.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 MIDDLE CREEK RD
SEVIERVILLE TN
37862-5047
US

IV. Provider business mailing address

PO BOX 634760
CINCINNATI OH
45263-0001
US

V. Phone/Fax

Practice location:
  • Phone: 865-453-7111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1003
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: