Individual
CLYDE MAXWELL HUTCHINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
611 ALCORN DR, SUITE 200, CORINTH, MS 38834-9321
(662) 287-6913
Mailing address
611 ALCORN DR, SUITE 200, CORINTH, MS 38834-9321
(662) 287-6913
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
07569
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115192
—
MS
05
—
009963070
—
AL
01
—
730-01061
BCBS
AL
Enumeration date
07/29/2005
Last updated
07/11/2012
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