Individual
MR. OLIN BRADFORD HUTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1789 OLD 96 INDIAN TRL, BATESBURG, SC 29006-9618
(803) 443-3807
Mailing address
1789 OLD 96 INDIAN TRL, BATESBURG, SC 29006-9618
(803) 443-3807
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1166
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN1022
—
SC
Enumeration date
11/23/2005
Last updated
11/06/2020
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