Individual
MR. LANCE CHARLES HUTCHINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3708 NORTHSIDE DR, MACON, GA 31210-2404
(478) 745-4206
Mailing address
3708 NORTHSIDE DR, MACON, GA 31210-2404
(478) 745-4206
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
C50456
GA
2255A2300X
Athletic Trainer
Primary
AT000130
GA
Other
Enumeration date
07/04/2006
Last updated
08/13/2019
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