Provider Demographics
NPI:1073505863
Name:DRS HUTCHINSON & HANNA P A
Entity Type:Organization
Organization Name:DRS HUTCHINSON & HANNA P A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MILFORD
Authorized Official - Middle Name:BERTEN
Authorized Official - Last Name:HUTCHINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:803-865-9909
Mailing Address - Street 1:114 GATEWAY CORP BLVD
Mailing Address - Street 2:STE 130
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-9740
Mailing Address - Country:US
Mailing Address - Phone:803-865-9909
Mailing Address - Fax:
Practice Address - Street 1:114 GATEWAY CORP BLVD
Practice Address - Street 2:STE 130
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-9740
Practice Address - Country:US
Practice Address - Phone:803-865-9909
Practice Address - Fax:803-865-1409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-17
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC6206Medicare PIN