Provider Demographics
NPI:1841449881
Name:HUTCHINSON, EMMANUELLE (MPA, PA-C)
Entity type:Individual
Prefix:MRS
First Name:EMMANUELLE
Middle Name:
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:MPA, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 KENNELWORTH PL
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-2007
Mailing Address - Country:US
Mailing Address - Phone:706-836-9486
Mailing Address - Fax:
Practice Address - Street 1:820 SAINT SEBASTIAN WAY STE 4C
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30901-2638
Practice Address - Country:US
Practice Address - Phone:706-774-5995
Practice Address - Fax:706-774-5996
Is Sole Proprietor?:No
Enumeration Date:2008-09-15
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2564PA363A00000X
GA005413363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant