Individual
BOB HUTCHINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
911 ELLIS AVE, JACKSON, MS 39209-6256
(601) 533-7016
Mailing address
PO BOX 746085, ATLANTA, GA 30374-6085
(469) 727-6675
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
09818
MO
207R00000X
Internal Medicine Physician
Primary
09818
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114426
—
MS
Enumeration date
06/09/2006
Last updated
11/19/2024
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