Individual
DAVID CHAD HITCHCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
5000 CROSSINGS CIR, SUITE 101, MOUNT JULIET, TN 37122-8592
(615) 758-1010
(615) 758-3875
Mailing address
5000 CROSSINGS CIR, SUITE 101, MOUNT JULIET, TN 37122-8592
(615) 758-1010
(615) 758-3875
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0000002002
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1527481
—
TN
01
—
6012066
BLUE CROSS-BLUE SHIELD
TN
01
—
P0102693
RR MEDICARE
TN
Enumeration date
12/07/2011
Last updated
02/20/2017
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