Provider Demographics
NPI:1417029794
Name:HUTCHINSON, GLORIA KERR (MD)
Entity type:Individual
Prefix:
First Name:GLORIA
Middle Name:KERR
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:402 OFFICE PARK DR STE 200
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2431
Mailing Address - Country:US
Mailing Address - Phone:205-802-5220
Mailing Address - Fax:205-802-5401
Practice Address - Street 1:800 MONTCLAIR RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35213-1908
Practice Address - Country:US
Practice Address - Phone:205-592-5336
Practice Address - Fax:205-592-5646
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL11583207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALP00083502OtherRR MEDICARE
AL1100327OtherUNITED HEALTHCARE
AL1100327OtherUNITED HEALTHCARE