Individual
THERON L HUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4696 NASHVILLE HWY, CHAPEL HILL, TN 37034-2110
(931) 364-5090
(931) 364-5091
Mailing address
854 W JAMES CAMPBELL BLVD, SUITE 303, COLUMBIA, TN 38401-4659
(931) 364-5090
(931) 364-5091
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036114648
IL
207Q00000X
Family Medicine Physician
Primary
49541
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3710089
—
TN
01
—
4360245
BCBST
—
Enumeration date
07/18/2006
Last updated
01/15/2014
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