Individual
MR. WILLIAM STEPHEN HUTCHESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1908 ALICE ST, WAYCROSS, GA 31501-6208
(912) 338-6010
(912) 287-2796
Mailing address
PO BOX 173, WAYCROSS, GA 31502-0173
(912) 283-8444
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4140
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
981425965B
—
GA
Enumeration date
05/11/2007
Last updated
03/20/2019
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