Provider Demographics
NPI:1245316355
Name:HUTTON, EMILY CARTER
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:CARTER
Last Name:HUTTON
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:EMILY
Other - Middle Name:LYNN
Other - Last Name:CARTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:703 BRIGHTON LN
Mailing Address - Street 2:
Mailing Address - City:WINDER
Mailing Address - State:GA
Mailing Address - Zip Code:30680-7294
Mailing Address - Country:US
Mailing Address - Phone:770-868-8689
Mailing Address - Fax:
Practice Address - Street 1:4192 SALEM RD
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30016-4532
Practice Address - Country:US
Practice Address - Phone:770-788-2026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA022029183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist