Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 18056 | SC |
NPI | 1124136080 |
---|---|
Provider Name | Dr. Patricia Lee Hutchison |
First Address | Mt Pleasant, SC 29464-6662 |
Second Address | Charleston, SC 29424-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/08/2006 |
Last Update Date | 26/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
180565 | (05) | SC |
G12143 | (02) |