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Individual

MR. JAMES K HITCHMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
149 KEY COLONY CT, DAYTONA BEACH, FL 32118-5654
(615) 957-2756
(386) 788-8777
Mailing address
149 KEY COLONY CT, DAYTONA BEACH, FL 32118-5654
(615) 957-2756
(386) 788-8777

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
07852
TN
2085R0202X
Diagnostic Radiology Physician
07852
TN
208D00000X
General Practice Physician
13430
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3193214
TN
Enumeration date
06/05/2006
Last updated
05/06/2015
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