Provider Demographics
NPI:1649478082
Name:HUTCHISON, PAULA B (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:B
Last Name:HUTCHISON
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2232 ARNOLD DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-3818
Mailing Address - Country:US
Mailing Address - Phone:704-582-3586
Mailing Address - Fax:
Practice Address - Street 1:2232 ARNOLD DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-3818
Practice Address - Country:US
Practice Address - Phone:704-582-3586
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC103374363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant