Provider Demographics
NPI:1346272507
Name:HUTCHINSON, WILLIAM LANE JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:LANE
Last Name:HUTCHINSON
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2801 N DECATUR RD
Mailing Address - Street 2:SUITE 190
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-5949
Mailing Address - Country:US
Mailing Address - Phone:404-299-9307
Mailing Address - Fax:404-299-9309
Practice Address - Street 1:2801 N DECATUR RD
Practice Address - Street 2:SUITE 190
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-5949
Practice Address - Country:US
Practice Address - Phone:404-299-9307
Practice Address - Fax:404-299-9309
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2011-12-29
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Provider Licenses
StateLicense IDTaxonomies
GA019703207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000009721GMedicaid
GA00009721BMedicaid
GA0967146OtherAETNA/USHC
GA4030999OtherAETNA/USHC
GA618214OtherBLUE CROSS BLUE SHIELD
GA000009721IMedicaid
GA000009721HMedicaid
GA160040030OtherRAILROAD MEDICARE
GA000009721FMedicaid
GA0706642OtherUNITED HEALTHCARE
D45725Medicare UPIN
GA160040030OtherRAILROAD MEDICARE