Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 021989 | GA |
NPI | 1003151002 |
---|---|
Provider Name | Dr. Marcia Bender Hutchinson |
First Address | Macon, GA 31210-8016 |
Second Address | Macon, GA 31210-8016 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2012 |
Last Update Date | 23/07/2013 |