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NPI Code Detail

MEDICARE: MRS. KIA HUTCHINS MCNAUGHTON MMSC

MEDICARE: MRS. KIA HUTCHINS MCNAUGHTON MMSC
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
1170300000XGenetic Counselor (M.S.)261AL
2170300000XGenetic Counselor (M.S.)467GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1467OTHERGAGENETIC COUNSELOR LICENSE
220199OTHERABGC
315158OTHERNSGC
4261OTHERALGENETIC COUNSELOR LICENSE

General Provider Information

NPI Number : 1376283275
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KIA HUTCHINS MCNAUGHTON MMSC
Provider Business Mailing Address
First Line : 1800 HOWELL MILL RD NW STE 625
Second Line :
City : ATLANTA
State : GA
Zip : 30318-3185
Country : US
Telephone Number : 678-604-5020
Fax Number : 404-367-7120
Provider Business Practice Location Address
First Line : 1800 HOWELL MILL RD NW STE 625
Second Line :
City : ATLANTA
State : GA
Zip : 30318-3185
Country : US
Telephone Number : 678-604-5020
Fax Number : 404-367-7120
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2022
Last Update Date : 01/29/2024

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