=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730646522
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | REVENUE CYCLE AND MANAGED CARE CONSULTING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/27/2019
-----------------------------------------------------
Last Update Date | 02/27/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 342 NELSON ST SW UNIT 220
-----------------------------------------------------
City | ATLANTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30313-1341
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 706-588-5452
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 342 NELSON ST SW UNIT 220
-----------------------------------------------------
City | ATLANTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30313-1341
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 706-588-5452
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MRS. ADRIAN J HUTCHERSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 706-588-5452
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171M00000X
-----------------------------------------------------
Taxonomy Name | Case Manager/Care Coordinator
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------