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NPI Code Detail

MEDICARE: DR. FORREST GORDON HUTCHINGS III ED.D.

MEDICARE:  DR. FORREST GORDON HUTCHINGS III ED.D.
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
1101YP2500XProfessional CounselorLPC001940GA
2103T00000XPsychologistPSY001889GA
3106H00000XMarriage & Family TherapistMFT000810GA

General Provider Information

NPI Number : 1942316971
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FORREST GORDON HUTCHINGS III ED.D.
Provider Business Mailing Address
First Line : 22B LENOX POINTE NE
Second Line :
City : ATLANTA
State : GA
Zip : 30324-3169
Country : US
Telephone Number : 404-325-0100
Fax Number : 404-237-9050
Provider Business Practice Location Address
First Line : 22B LENOX POINTE NE
Second Line :
City : ATLANTA
State : GA
Zip : 30324-3169
Country : US
Telephone Number : 404-325-0100
Fax Number : 404-237-9050
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2006
Last Update Date : 08/11/2010

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