person
Vivian M Hutton, PA-C
Medical Physician Assistant in Lagrange, Georgia
NPI 1477548626

Vivian M Hutton is a Medical Physician Assistant based in Lagrange, GA and is specialized in Medical. Vivian M Hutton practices in Lagrange, GA and has the professional credentials of PA-C. The NPI Number for Vivian M Hutton is 1477548626 and holds a License No. 002475 (Georgia).

The current practice location address for Vivian M Hutton is 1551 Doctors Dr, Lagrange, GA and can be reached out via phone at 706-884-2641 and via fax at 706-884-2353.

Location: 1551 Doctors Dr, Lagrange, GA, 30240-4139
person
Provider Profile Details
NPI Number
1477548626
Provider Name
Vivian M Hutton
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1551 Doctors Dr, Lagrange, GA, 30240-4139
Phone Number
706-884-2641
Fax Number
706-884-2353
Provider Enumeration Date
09/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100000064A 05 GA
institution
Provider Business Practice Location Address Details
Address
1551 Doctors Dr
City
State
Zip
30240-4139
Phone Number
706-884-2641
Fax Number
706-884-2353
person
Provider Business Mailing Address Details
Address
1551 Doctors Dr
City
State
Zip
30240-4139
Phone Number
706-884-2641
Fax Number
706-884-2353
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
002475 (Georgia)
Definition
Definition to come...
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