Individual
BRENT JOHN HUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2001 VAIL AVE, CHARLOTTE, NC 28207-1248
(704) 607-3249
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2011-01168
NC
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
2011-01168
NC
Other
Enumeration date
03/07/2007
Last updated
07/15/2024
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