Hutcheson, Justin Kelby

Hutcheson, Justin Kelby is an individual health care provider with primary practice located at 10 Enterprise Blvd Ste 201 , Greenville SC 29615-3554. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Hutcheson, Justin Kelby can be contacted via phone (864) 583-2337.

Contact Information

Primary practice address
10 Enterprise Blvd Ste 201 Greenville SC 29615-3554
Phone: (864) 583-2337
Fax: (864) 583-0147
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 23320 South Carolina
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 057825 Georgia
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 23320 South Carolina

Profile Details

NPI number 1154421915
LBN Legal business name Hutcheson, Justin Kelby
Credentials MD MS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Feb 15th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154421915 NPPES
South Carolina MEDICAID 233205

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