Provider Demographics
NPI:1871710152
Name:HUTCHINS, JOSHUA CORNELIUS (MD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:CORNELIUS
Last Name:HUTCHINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 SEVEN FARMS DR STE C-159
Mailing Address - Street 2:
Mailing Address - City:DANIEL ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29492-8001
Mailing Address - Country:US
Mailing Address - Phone:864-723-6443
Mailing Address - Fax:
Practice Address - Street 1:927 COCHRAN STREET
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29492
Practice Address - Country:US
Practice Address - Phone:843-471-2273
Practice Address - Fax:843-377-8180
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC27193207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC271930Medicaid
SC271930Medicaid