Provider Demographics
NPI:1235376260
Name:HUTCHISON SURGICAL ASSISTING INCORPORATED
Entity Type:Organization
Organization Name:HUTCHISON SURGICAL ASSISTING INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:LAUREN
Authorized Official - Last Name:HUTCHISON
Authorized Official - Suffix:
Authorized Official - Credentials:ACNP, RNFA
Authorized Official - Phone:404-790-5925
Mailing Address - Street 1:3090 RIO MONTANA DR
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-4048
Mailing Address - Country:US
Mailing Address - Phone:404-790-5925
Mailing Address - Fax:770-973-3041
Practice Address - Street 1:3090 RIO MONTANA DR
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-4048
Practice Address - Country:US
Practice Address - Phone:404-790-5925
Practice Address - Fax:770-973-3041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-13
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN181652NP363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Single Specialty