Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD36959 | TN |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 36959 | TN |
NPI | 1215036843 |
---|---|
Provider Name | Jason T Hutchison |
First Address | Jackson, TN 38305-2070 |
Second Address | Jackson, TN 38305-2070 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 02/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3882874 | (05) | TN |
H82057 | (02) |