Individual
MRS. CHARLIE BROOKE HUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 545-7100
(901) 448-8472
Mailing address
321 CRIMSONWOOD DR, BYHALIA, MS 38611-7094
(901) 431-9297
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5860
TN
Other
Enumeration date
02/14/2024
Last updated
02/14/2024
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