Basic Information
| Provider Information | |||||||||
| NPI: | 1871710152 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HUTCHINS | ||||||||
| FirstName: | JOSHUA | ||||||||
| MiddleName: | CORNELIUS | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 295 SEVEN FARMS DR STE C-159 | ||||||||
| Address2: | |||||||||
| City: | DANIEL ISLAND | ||||||||
| State: | SC | ||||||||
| PostalCode: | 294928001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8647236443 | ||||||||
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| Practice Location | |||||||||
| Address1: | 927 COCHRAN STREET | ||||||||
| Address2: | |||||||||
| City: | CHARLESTON | ||||||||
| State: | SC | ||||||||
| PostalCode: | 29492 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8434712273 | ||||||||
| FaxNumber: | 8433778180 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/19/2007 | ||||||||
| LastUpdateDate: | 02/07/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 27193 | SC | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 271930 | 05 | SC | MEDICAID |