Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 17069 | NC |
N | 207YS0123X | Facial Plastic Surgeon | 17069 | NC |
NPI | 1396706156 |
---|---|
Provider Name | Dr. Charles Hubert Hutchins |
First Address | Gastonia, NC 28054-3481 |
Second Address | Gastonia, NC 28054-3481 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8945146 | (05) | NC |
C84659 | (02) |