Individual
MR. HYATT D SUTTON
Active
Individual
MR. HYATT D SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27755
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1513291
MEDICAID MCC TEMP#
TN
05
—
3827183
—
TN
05
—
6403139600
—
KY
01
—
P00723462
RR MEDICARE
TN
Enumeration date
09/16/2005
Last updated
01/25/2022
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