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NPI Code Detail

MEDICARE: HEATHER MCCOY HUTCHINGS DO

MEDICARE:   HEATHER MCCOY HUTCHINGS  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician843SC
2207Q00000XFamily Medicine PhysicianDO2617TN
3207R00000XInternal Medicine Physician2617TN

General Provider Information

NPI Number : 1134231756
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER MCCOY HUTCHINGS DO
Provider Business Mailing Address
First Line : 460 MEDICAL PARK DR STE 108B
Second Line :
City : LENOIR CITY
State : TN
Zip : 37772-5782
Country : US
Telephone Number : 865-562-3232
Fax Number : 865-218-7526
Provider Business Practice Location Address
First Line : 460 MEDICAL PARK DR STE 108B
Second Line :
City : LENOIR CITY
State : TN
Zip : 37772-5782
Country : US
Telephone Number : 865-562-3232
Fax Number : 865-218-7526
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 02/19/2024

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Directions to “ HEATHER MCCOY HUTCHINGS DO” Practice Location

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