Individual
DR. JUSTIN KELBY HUTCHESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MS
Contact information
Practice address
10 ENTERPRISE BLVD STE 201, GREENVILLE, SC 29615-3554
(864) 583-2337
(864) 583-0147
Mailing address
PO BOX 6130, SPARTANBURG, SC 29304-6130
(864) 583-2337
(864) 583-0147
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
057825
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
23320
SC
208VP0014X
Interventional Pain Medicine Physician
Primary
23320
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
233205
—
SC
Enumeration date
09/22/2006
Last updated
02/15/2021
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