Individual
MRS. GLORIA EVA HUTTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 508-7716
(404) 508-7801
Mailing address
153 NEWPORT RD SW, LILBURN, GA 30047-3945
(770) 806-0646
(770) 806-0646
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R003450
GA
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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