MEDICARE: DR. RICHARD HUTCHINS MD

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
1	207P00000X	Emergency Medicine Physician	34045	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2153627	OTHER	NC	MEDICARE CORE

General Provider Information

NPI Number	:	1518954692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD HUTCHINS MD

Provider Business Mailing Address
First Line	:	6828 GREYSTONE DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-7407
Country	:	US
Telephone Number	:	919-872-0566
Fax Number	:

Provider Business Practice Location Address
First Line	:	566 RUIN CREEK RD
Second Line	:
City	:	HENDERSON
State	:	NC
Zip	:	27536-2927
Country	:	US
Telephone Number	:	252-436-1162
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2005
Last Update Date	:	02/18/2008

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