Provider Demographics
NPI:1114518081
Name:HUTCHESON, WILLIAM CHANDLER (PA)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:CHANDLER
Last Name:HUTCHESON
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:627 MOUNTAIN VIEW RD
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:TN
Mailing Address - Zip Code:37307-4617
Mailing Address - Country:US
Mailing Address - Phone:423-435-3872
Mailing Address - Fax:
Practice Address - Street 1:4233 US-411
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37354
Practice Address - Country:US
Practice Address - Phone:423-442-8084
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant