Individual
MARTINE A HUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
776 DANIEL ELLIS DRIVE, SUITE 3C, CHARLESTON, SC 29412
(843) 795-0900
(843) 762-5495
Mailing address
PO BOX 12159, CHARLESTON, SC 29412
(843) 795-0900
(843) 762-5495
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
09337
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1165
—
SC
Enumeration date
11/09/2010
Last updated
11/09/2010
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