Provider Demographics
NPI:1003151002
Name:HUTCHINSON, MARCIA BENDER (MD)
Entity Type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:BENDER
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:149 ASHFORD PARK
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210-8016
Mailing Address - Country:US
Mailing Address - Phone:478-342-5465
Mailing Address - Fax:
Practice Address - Street 1:149 ASHFORD PARK
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31210-8016
Practice Address - Country:US
Practice Address - Phone:478-342-5465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-01
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA021989208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics