Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 200200238 | NC |
Y | 208600000X | Surgeon | 200200238 | NC |
N | 2086S0129X | Vascular Surgeon | 200200238 | NC |
NPI | 1134206816 |
---|---|
Provider Name | Dr. Andrew John Hutchinson |
First Address | Whiteville, NC 28472-3412 |
Second Address | Whiteville, NC 28472-3704 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 31/10/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200200238 | LICENCE NUMBER (01) | NC |
34D1028886 | CLIA (01) | NC |
89131FF | (05) | NC |
H71853 | (02) | NC |