Provider Demographics
NPI:1033189972
Name:HUTSON, RONALD GENE (PA-C)
Entity Type:Individual
Prefix:MR
First Name:RONALD
Middle Name:GENE
Last Name:HUTSON
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:101 DARTMOUTH LN
Mailing Address - Street 2:
Mailing Address - City:FALLING WATERS
Mailing Address - State:WV
Mailing Address - Zip Code:25419-3972
Mailing Address - Country:US
Mailing Address - Phone:304-274-6126
Mailing Address - Fax:
Practice Address - Street 1:611 E 5TH AVE
Practice Address - Street 2:
Practice Address - City:RANSON
Practice Address - State:WV
Practice Address - Zip Code:25438-1770
Practice Address - Country:US
Practice Address - Phone:304-724-7417
Practice Address - Fax:304-724-7418
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical